Individual provider · Type 1 NPI

Amanda Catherine Tep, DO

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

NPI number 1790314979 Active

Practice location

9205 SW Barnes Rd Ste MT2800
Portland, OR 97225-6603

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 200 Mullins Dr, Lebanon, OR 97355-3983 · (541) 259-0235

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPG210936 (OR)

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 1790314979

Amanda Catherine Tep, DO's National Provider Identifier is 1790314979, issued on Apr 8, 2020. 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 Jul 18, 2022.