Amf Consulting LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

750417 Issued in OR

Legal business name

AMF CONSULTING LLC

Practice address

2334 NE 53Rd Ave
Portland, OR 97213-2614

Phone

(503) 679-6314

NPI assigned

Nov 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Annalisa Fredrickson, MS

Title

Director

Phone

(503) 679-6314

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1063885705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 NE 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132614",
            "telephone_number": "503-679-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 NE 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132614",
            "telephone_number": "503-679-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMF CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "FREDRICKSON",
        "authorized_official_first_name": "ANNALISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-679-6314",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "750417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.