Amber Mudong
Peer Specialist · Dallas, OR
NPI number
1063108322
Practice location
182 SW Academy StDallas, OR 97338-1996
- Phone
- (503) 623-9289
NPI record
- NPI
- 1063108322
- Entity type
- Individual (Type 1)
- Enumeration date
- April 11, 2023
- Last updated
- October 28, 2024
- Certified
- October 23, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
Mailing address
3587 Liberty RdDallas, OR 97338
- Phone
- (971) 716-6941
About Amber Mudong
Amber Mudong is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 182 SW Academy St, Dallas, OR 97338-1996. The NPI number 1063108322 was assigned on April 11, 2023 and the record was last updated on October 28, 2024.
Frequently asked questions
What is the NPI number of Amber Mudong?
The NPI number is 1063108322.
What is the phone number of Amber Mudong?
The phone number listed for the practice location is (503) 623-9289.
Where is Amber Mudong located?
182 SW Academy St, Dallas, OR 97338-1996.
What is the taxonomy code for Amber Mudong?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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