Pinzon, Amanda S

Pinzon, Amanda S is an individual health care provider with primary practice located at 1003 Providence Dr , Newberg OR 97132-7521. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pinzon, Amanda S can be contacted via phone (503) 537-5900.

Contact Information

Primary practice address
1003 Providence Dr Newberg OR 97132-7521
Phone: (503) 537-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA175243 Oregon

Profile Details

NPI number 1508267253
LBN Legal business name Pinzon, Amanda S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2014
Last updated Jun 21st, 2021 - about 3 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 1508267253 NPPES
Oregon MEDICAID 50695123

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