Individual provider · Type 1 NPI
Amanda Ellig, BSN, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Portland, OR
NPI number
1043729163
Active
Practice location
3415 SE Powell Blvd
Portland, OR 97202-3371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 201606552RN (OR) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1043729163
Amanda Ellig, BSN, RN's National Provider Identifier is 1043729163, issued on Sep 20, 2017. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2022.