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Contact Information

AMANDA L CARR, NP
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR97210
 Phone: 503-229-7976
 Fax: 503-274-4867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMANDA L CARR · (Female)

NPI Number 1710435821
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/18/2016
Last updated 09/25/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • OR License # 202004793NP-PP
  • WA License # AP61660854
Hospital affiliation(s)
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
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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