Provider Demographics
NPI:1851024582
Name:MORALES, AMBER MARIE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:MARIE
Last Name:MORALES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 SW 17TH PL
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-1254
Mailing Address - Country:US
Mailing Address - Phone:415-504-6010
Mailing Address - Fax:541-615-9301
Practice Address - Street 1:2775 SW 17TH PL
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1254
Practice Address - Country:US
Practice Address - Phone:415-504-6010
Practice Address - Fax:541-615-9301
Is Sole Proprietor?:No
Enumeration Date:2022-07-09
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP61335304363LF0000X
OR202209564NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily