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NPI Code Detail

MEDICARE: AMANDA RAPAPORT FNP-C

MEDICARE: AMANDA RAPAPORT FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerSP018543PA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner201709855NP-PPOR

General Provider Information

NPI Number : 1093216566
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA RAPAPORT FNP-C
Provider Business Mailing Address
First Line : 1400 DOLLAR ST
Second Line :
City : WEST LINN
State : OR
Zip : 97068-4418
Country : US
Telephone Number : 106-999-1233
Fax Number :
Provider Business Practice Location Address
First Line : 13535 SW 72ND AVE STE 170
Second Line :
City : PORTLAND
State : OR
Zip : 97223-8074
Country : US
Telephone Number : 971-300-0654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2018
Last Update Date : 06/18/2025

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Directions to “ AMANDA RAPAPORT FNP-C” Practice Location

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