NPI 1063108322
Amber Mudong
Practice location
- Address
- 182 SW Academy St, Dallas, OR 97338-1996
- Phone
- (503) 623-9289
- Mailing address
- 3587 Liberty Rd, Dallas, OR 97338
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1063108322
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Apr 2023
- Record last updated
- 28 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.