Individual
AMANDA NAMBIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
545 NE 47TH AVE STE 102, PORTLAND, OR 97213-2237
(925) 324-2145
Mailing address
13160 JERUSALEM HILL RD NW, SALEM, OR 97304-9622
(925) 324-2145
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
CNM06851
OR
363LW0102X
Women's Health Nurse Practitioner
104951734
OR
367A00000X
Advanced Practice Midwife
Primary
202107253NP-PP
OR
Other
Enumeration date
05/10/2021
Last updated
05/01/2023
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