Healthcare Provider Details

I. General information

NPI: 1730031451
Provider Name (Legal Business Name): AMBER THRAILKILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER GOLTRA

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 NE STUCKI AVE STE 300
HILLSBORO OR
97006-6945
US

IV. Provider business mailing address

10534 NE SUMMER FALLS ST
HILLSBORO OR
97006-7807
US

V. Phone/Fax

Practice location:
  • Phone: 503-906-5000
  • Fax: 503-906-5193
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number202100303RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: