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NPI Code Detail

MEDICARE: WENDY ZAMORA PMHNP

MEDICARE: WENDY ZAMORA PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner201608741NP-PPOR
2163W00000XRegistered Nurse092000169RNOR

General Provider Information

NPI Number : 1881927549
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY ZAMORA PMHNP
Provider Business Mailing Address
First Line : 1350 NE 122ND AVE STE 100
Second Line :
City : PORTLAND
State : OR
Zip : 97230-2011
Country : US
Telephone Number : 503-408-7010
Fax Number :
Provider Business Practice Location Address
First Line : 1350 NE 122ND AVE STE 100
Second Line :
City : PORTLAND
State : OR
Zip : 97230-2011
Country : US
Telephone Number : 503-408-7010
Fax Number : 503-408-7035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2009
Last Update Date : 05/20/2026

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Directions to “ WENDY ZAMORA PMHNP” Practice Location

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