IndividualActive
Amanda Ellig, BSN, RN
NPI 1043729163 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Portland, OR
Provider details
- NPI number
- 1043729163
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- BSN, RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 201606552RN (OR)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 201606552RN (OR)
Nursing Service Providers
Practice location
3415 Se Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
Approximate (ZIP-level) locationGet directions
Mailing address
3415 Se Powell Blvd
Portland, OR 97202-3371
Registry dates
- Enumerated
- 2017-09-20
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.