Individual provider · Type 1 NPI

Amanda Nicole Sonju

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1114706520 Active

Practice location

18417 SE Oak St
Portland, OR 97233-4850

Call (971) 727-8026 Map

Mailing address

5415 SW Westgate Dr
Portland, OR 97221-2409

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114706520

Amanda Nicole Sonju's National Provider Identifier is 1114706520, issued on Sep 25, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Sep 25, 2023.