Individual
TINA MODUPE AMAECHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16210 TRACEY LEE CT, OREGON CITY, OR 97045-8236
(971) 219-6774
Mailing address
16210 TRACEY LEE CT, OREGON CITY, OR 97045-8236
(971) 219-6774
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
10027659
OR
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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