IndividualActive
Amanda Marcus, R.N.
NPI 1639396716 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Portland, OR
Provider details
- NPI number
- 1639396716
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
Practice location
722 Ne 162nd Ave
Portland, OR 97230-5760
Phone: (503) 408-5016
Fax: (503) 255-5094
Mailing address
1620 Ash St
Lake Oswego, OR 97034-4770
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.