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Contact Information

TRACEY D AMLIN, FNP
4340 N INTERSTATE AVE
PORTLAND, OR97217-3211
 Phone: 503-215-1444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRACEY D AMLIN · (Female)

NPI # 1659653277
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/10/2011
Last updated 07/21/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 12645NP
  • OR License # 201505843NP-PP
  • WA License # AP60645755
  • OR Medicaid 500699841
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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