AMY SAMANTHA PECK

PORTLAND, OR
NPI1174170682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: OR  201907329NP-PP)
Enumeration Date2019-08-20
Last Update Date2019-08-20
Business Address
AMY SAMANTHA PECK
12710 SE DIVISION ST
PORTLAND, OR 97236-3134
Phone number: 503-988-3601
Mailing Address
AMY SAMANTHA PECK
4222 NE CLEVELAND AVE
PORTLAND, OR 97211-2704
Phone number: 503-866-2746
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