AMBER JEANNE HENRICKSON NTP NPI 1588102461

NPI Information

NPI: 1588102461
Provider Name: AMBER JEANNE HENRICKSON, NTP
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
4235 SW CORBETT AVE
PORTLAND, OR
ZIP 97239
Phone: (503) 789-7108
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Amber Jeanne Henrickson, NTP is a nutrition and education nutritionist in Portland, OR. Amber Jeanne Henrickson, NTP NPI is 1588102461. 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:

4235 SW CORBETT AVE
PORTLAND, OR
ZIP 97239-203
Phone: (503) 789-7108

The enumeration date for this NPI number is 2/10/2017 and was last updated on 2/10/2017.

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
1	133NN1002X	Nutritionist	Nutrition, Education	1740	WASHINGTON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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