IndividualActive
Amanda St John
NPI 1598129496 · Family Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1598129496
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 201602229NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3164 Ne 35th Pl
Portland, OR 97212-2728
Phone: (208) 249-5516
Approximate (ZIP-level) locationGet directions
Mailing address
3164 Ne 35th Pl
Portland, OR 97212-2728
Registry dates
- Enumerated
- 2016-04-07
- Last updated
- 2016-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.