Amber Theodore

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201700033RN Issued in OR

Practice address

3025 SE Van Water St
Milwaukie, OR 97222-6354

Phone

(602) 330-2819

NPI assigned

Oct 21, 2026

Last updated

Oct 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1508763798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SE VAN WATER ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226354",
            "telephone_number": "602-330-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SE VAN WATER ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226354",
            "telephone_number": "602-330-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORE",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201700033RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Tharp, LMT.
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• Amy Theppote, DPM
• Bryan D Thieme, PSYD
• Norman L Thiesen, PH.D.
• Thomas D. Cardwell, DMD, PC (Prime Dental Care)
• Brittney Thomas, LCSW

• Registered Nurse in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.