AMANDA NICOLE CANTU (NPI# 1518447119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518447119 |
| Entity Type | Individual |
| Full Name | AMANDA NICOLE CANTU |
| Practice Address |
727 W Burnside St Portland OR 97209-3514 |
| Mailing Address |
232 Nw 6th Avenue Attn: Credentialing Portland OR 97209 |
| Practice Telephone | 5032284533 |
| Mailing Telephone | 5032941681 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 201709140LPN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366931735 | Amanda Cantu | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2018-05-01 |
| 1093102923 | Amanda Noemi Cantu | Internal Medicine | 2102 Treasure Hills Blvd, Internal Medicine Residency Program, Harlingen, TX 78550-8736 | 2015-04-17 |
| 1255618724 | Amanda Joelyn Cantu | Counselor | 118 Este Es Rd Unit A, Taos, NM 87571-6669 | 2011-11-10 |
| Street Address |
727 W BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568410538 | David Nigel Adler IIi | Acupuncturist | 727 W Burnside St, Portland, OR 97209-3514 | 2006-05-04 |
| 1053973107 | Barbara Jean Cordova Ayala | Licensed Practical Nurse | 727 W Burnside St, Portland, OR 97209-3514 | 2019-06-28 |
| 1386200186 | Ronnie Lee Pickering | Student in an Organized Health Care Education/Training Program | 727 W Burnside St, Portland, OR 97209-3514 | 2019-05-16 |
| 1790254944 | Carissa Angela Marston | Physician Assistant | 727 W Burnside St, Portland, OR 97209-3514 | 2018-11-16 |
| 1194204552 | Livian Marie Rand | Acupuncturist | 727 W Burnside St, Portland, OR 97209-3514 | 2018-08-07 |
| 1508366733 | Jason Sheffey | Peer Specialist | 727 W Burnside St, Portland, OR 97209-3514 | 2018-02-14 |
| 1528566445 | Mathew Reichardt | Counselor | 727 W Burnside St, Portland, OR 97209-3514 | 2018-01-25 |
| 1639681638 | Julie Cha Beert | Pharmacist | 727 W Burnside St, Portland, OR 97209-3514 | 2017-10-30 |
| 1821500117 | Kimberly Marie Hutchinson | Registered Nurse | 727 W Burnside St, Portland, OR 97209-3514 | 2017-10-26 |
| 1942727128 | Tiffany Tsai | Pharmacist | 727 W Burnside St, Portland, OR 97209-3514 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801448899 | David Terpea | Licensed Practical Nurse | 6920 Se Division St, Portland, OR 97206-1271 | 2019-07-10 |
| 1629565981 | Kufa Dekamo | Licensed Practical Nurse | 3708 Se 144th Ave, Portland, OR 97236-2731 | 2018-04-21 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1902344914 | Lacy Neal | Licensed Practical Nurse | 5737 Se Harold St, Portland, OR 97206-5526 | 2017-02-09 |
| 1720433691 | Megan Gauger | Licensed Practical Nurse | 3332 Se 7th Ave, Portland, OR 97202-2702 | 2016-04-28 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| 1285057083 | Kyle Epler | Licensed Practical Nurse | 4528 N 550 E, Portland, IN 47371-7956 | 2014-01-29 |
| 1902236813 | Laurie Cash | Licensed Practical Nurse | 8440 Fay St, Portland, NY 14769-9603 | 2013-11-14 |
| 1730436924 | Jonathan Edward Mondragon | Licensed Practical Nurse | 16141 E. Burnside St., Portland, OR 97233-3519 | 2012-08-07 |
| 1114299625 | Mai Nguyen | Licensed Practical Nurse | 3710 Southwest Veteran Hosp Road, Portland, OR 97239-2964 | 2012-01-30 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.