person
Amy Samantha Peck
Primary Care Nurse Practitioner in Portland, Oregon
NPI 1174170682

Amy Samantha Peck is a Primary Care Nurse Practitioner based in Portland, OR and is specialized in Primary Care. Amy Samantha Peck practices in Portland, OR. The NPI Number for Amy Samantha Peck is 1174170682 and holds a License No. 201907329NP-PP (Oregon).

The current practice location address for Amy Samantha Peck is 12710 Se Division St, Portland, OR and can be reached out via phone at 503-988-3601.

Location: 12710 Se Division St, Portland, OR, 97211-2704
person
Provider Profile Details
NPI Number
1174170682
Provider Name
Amy Samantha Peck
Credential
Provider Entity Type
Individual
Gender
Female
Address
12710 Se Division St, Portland, OR, 97211-2704
Phone Number
503-988-3601
Fax Number
Provider Enumeration Date
08/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12710 Se Division St
City
State
Zip
97236-3134
Phone Number
503-988-3601
Fax Number
person
Provider Business Mailing Address Details
Address
12710 Se Division St
City
State
Zip
97236-3134
Phone Number
503-988-3601
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
201907329NP-PP (Oregon)
Definition
Definition to come...
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