Individual provider · Type 1 NPI
Amy Stivers, NP
Gerontology Nurse Practitioner · Oregon City, OR
NPI number
1366867293
Active
Practice location
1153 Molalla Ave
Oregon City, OR 97045
Fax (503) 446-3398
Mailing address
2125 SE Main St
Portland, OR 97214-3839
Other practice locations
- 5 Centerpointe Dr, Ste 600, Lake Oswego, OR 97035-8651 · (678) 462-7320
- 9860 NW Cornell Rd, Portland, OR 97229-5250 · (503) 515-4004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN169713 (GA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 201506048NP-PP (OR) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1366867293
Amy Stivers, NP's National Provider Identifier is 1366867293, issued on Mar 1, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Oregon City, OR. The record was last updated on Oct 28, 2019.