IndividualActive
Amanda Tep, DO
NPI 1790314979 · Student in an Organized Health Care Education/Training Program · Portland, OR
Provider details
- NPI number
- 1790314979
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- PG210936 (OR)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense PG210936 (OR)
Student, Health Care
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9205 Sw Barnes Rd Ste Mt2800
Portland, OR 97225-6603
Phone: (503) 216-2621
Street-level locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Additional practice locations (1)
- 200 Mullins DrLebanon, OR 97355-3983Phone: (541) 259-0235
Registry dates
- Enumerated
- 2020-04-08
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.