NPI 1366062614 · live from the CMS NPI Registry
Sidney O Amankwah
Hospitalist in Portland, OR. National Provider Identifier 1366062614, active.
NPI record
| NPI | 1366062614 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Hospitalist 208M00000X |
| Practice location | 10123 Se Market St, Portland, OR 97216 |
| Practice phone | 503-257-2500 |
| Enumerated | April 16, 2020 |
| Last updated | December 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD215912 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Hospitalist primary | 208M00000X | MD215912 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.