NPI 1033573167 · live from the CMS NPI Registry
Amanda Aninwene
Family Medicine in Portland, OR. National Provider Identifier 1033573167, active.
NPI record
| NPI | 1033573167 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239 |
| Practice phone | 503-494-8211 |
| Enumerated | April 5, 2016 |
| Last updated | February 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | MD187371 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.