Stivers, Amy

Stivers, Amy is an sole proprietor health care provider with primary practice located at 1153 Molalla Ave , Oregon City OR 97045. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Stivers, Amy can be contacted via phone (503) 515-4004.

Contact Information

Primary practice address
1153 Molalla Ave Oregon City OR 97045
Phone: (503) 515-4004
Fax: (503) 446-3398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN169713 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 201506048NP-PP Oregon

Profile Details

NPI number 1366867293
LBN Legal business name Stivers, Amy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2014
Last updated Oct 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366867293 NPPES
Oregon MEDICAID 500692367

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