Individual provider · Type 1 NPI

Amanda Spahan

Licensed Practical Nurse · Portland, OR

NPI number 1720758402 Active

Practice location

722 NE 162nd Ave
Portland, OR 97230-5760

Mailing address

424 NE 22nd Ave
Portland, OR 97232-2809

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X202109863LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1720758402

Amanda Spahan's National Provider Identifier is 1720758402, issued on Sep 15, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Portland, OR. The record was last updated on Sep 15, 2021.