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1174170682
AMY SAMANTHA PECK
PORTLAND, OR
NPI
1174170682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OR 201907329NP-PP)
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
AMY SAMANTHA PECK
12710 SE DIVISION ST
PORTLAND, OR 97236-3134
Phone number: 503-988-3601
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Mailing Address
AMY SAMANTHA PECK
4222 NE CLEVELAND AVE
PORTLAND, OR 97211-2704
Phone number: 503-866-2746
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