Amy Samantha Peck is a primary care nurse practitioner in Portland, OR. Amy Samantha Peck NPI is 1174170682. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
12710 SE DIVISION ST
PORTLAND, OR
ZIP 97236-134
Phone: (503) 988-3601
The NPI 1174170682 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/20/2019 and was last updated on 8/20/2019.