Amundson, Angela

Amundson, Angela is an individual health care provider with primary practice located at 9775 Se Sunnyside Rd Suite 200, Clackamas OR 97015-5739. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Amundson, Angela can be contacted via phone (503) 655-8471.

Contact Information

Primary practice address
9775 Se Sunnyside Rd Suite 200 Clackamas OR 97015-5739
Phone: (503) 655-8471
Fax: (503) 723-4907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201142795RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201508262NP-PP Oregon

Profile Details

NPI number 1366886293
LBN Legal business name Amundson, Angela
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2013
Last updated Apr 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366886293 NPPES
Oregon MEDICAID 500700278

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