AMBER MUDONG
NPI 1063108322
Peer Specialist in Dallas, OR

Active since April 11, 2023
182 SW ACADEMY ST, DALLAS, OR 97338(503) 623-9289 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2024, Apr 11, 2023 (2 updates tracked since 2023).

About Amber Mudong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER MUDONG (NPI 1063108322) is an individual peer specialist in Dallas, Oregon and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1063108322
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMBER MUDONG
Location Address182 SW ACADEMY STDallas, OR 97338-1996
Mailing Address3587 Liberty RdDallas, OR 97338 · (971) 716-6941
Sole ProprietorYes
Enumeration DateApril 11, 2023
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
NPI 1063108322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

182 SW ACADEMY ST, Dallas, OR 97338

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Mudong's NPI number?

The NPI number for Amber Mudong is 1063108322. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Amber Mudong located?

Amber Mudong practices at 182 SW Academy St, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Amber Mudong's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Amber Mudong was last updated on October 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.