IndividualActive
Amy Kinzie, ANP
NPI 1770524480 · Adult Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1770524480
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- 090007080N3 (OR)
Practice location
10101 Se Main St
#1001
Portland, OR 97216-2455
Phone: (503) 255-3404
Fax: (503) 255-4750
Mailing address
10101 Se Main St
Portland, OR 97216-2455
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2013-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.