Provider Demographics
NPI:1598166027
Name:BEYMER, AMBER L (FNP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:L
Last Name:BEYMER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 WASHINGTON ST W
Mailing Address - Street 2:
Mailing Address - City:VALE
Mailing Address - State:OR
Mailing Address - Zip Code:97918-1147
Mailing Address - Country:US
Mailing Address - Phone:541-473-2101
Mailing Address - Fax:541-473-2668
Practice Address - Street 1:789 WASHINGTON ST W
Practice Address - Street 2:
Practice Address - City:VALE
Practice Address - State:OR
Practice Address - Zip Code:97918-1147
Practice Address - Country:US
Practice Address - Phone:541-473-2101
Practice Address - Fax:541-473-2668
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201404815NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily