ANGELA AMUNDSON FNP NPI 1366886293

NPI Information

  • NPI: 1366886293
  • Provider Name: ANGELA AMUNDSON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9775 SE SUNNYSIDE RD
    SUITE 200
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 655-8471

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NPI Details

Angela Amundson, FNP is a family nurse practitioner in Clackamas, OR with 11 years of experience. Angela Amundson, FNP NPI is 1366886293. 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:

9775 SE SUNNYSIDE RD
SUITE 200
CLACKAMAS, OR
ZIP 97015-739
Phone: (503) 655-8471
Fax: (503) 723-4907

The NPI 1366886293 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 4/22/2013 and was last updated on 4/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse201142795RNOREGONNo
2363LF0000XNurse PractitionerFamily201508262NP-PPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500700278MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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