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Contact Information

ANGELA AMUNDSON, FNP
9775 SE SUNNYSIDE RD
SUITE 200
CLACKAMAS, OR97015-5739
 Phone: 503-655-8471
 Fax: 503-723-4907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ANGELA AMUNDSON · (Female)

NPI # 1366886293
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/22/2013
Last updated 04/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 201142795RN
  • OR License # 201508262NP-PP
  • OR Medicaid 500700278
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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