AMANDA CATHERINE TEP

PORTLAND, OR
NPI1790314979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG210936)
Enumeration Date2020-04-08
Last Update Date2022-07-18
Business Address
AMANDA CATHERINE TEP DO
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225-6603
Phone number: 503-216-2621
Mailing Address
AMANDA CATHERINE TEP DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: