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AMANDA CATHERINE TEP DO
NPI 1790314979
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 08, 2020PECOS Enrolled
9205 SW BARNES RD STE MT2800, PORTLAND, OR 97225(503) 216-2621 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2022, Jul 17, 2022, Apr 8, 2020 (3 updates tracked since 2020).

About Amanda Catherine Tep Do NPPES

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

AMANDA CATHERINE TEP DO (NPI 1790314979) is an individual student in an organized health care education/training program in Portland, Oregon, licensed in Oregon (PG210936) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1790314979
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA CATHERINE TEPCredential: DO
Location Address9205 SW BARNES RD STE MT2800Portland, OR 97225-6603
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 216-2621
Sole ProprietorNo
Enumeration DateApril 8, 2020
Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1790314979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OR · PG210936
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9205 SW BARNES RD STE MT2800, Portland, OR 97225
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Secondary Practice Location 1

Location 1200 Mullins DrLebanon, OR 97355-3983 · Phone (541) 259-0235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Catherine Tep Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

ASHLEY N LANEHURST PHD
Psychologist
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
DAPHNE A SY MD
Internal Medicine
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
JONATHAN PAK KIN FENG MD
Student in an Organized Health Care Education/Training Program
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
KHOI T NGUYEN DO
Internal Medicine
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
EMMA ELIZA HILL MD
Dermatology
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
JOANNA M BOVE MD
Internal Medicine
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
ASHLEY M HOFF MD
Student in an Organized Health Care Education/Training Program
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621
ANNIE M DUNN MD
Student in an Organized Health Care Education/Training Program
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225
Washington County (503) 216-2621

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 Amanda Tep's NPI number?

The NPI number for Amanda Tep is 1790314979. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Amanda Tep located?

Amanda Tep practices at 9205 SW Barnes Rd Ste Mt2800, Portland, OR 97225. The listed phone number is (503) 216-2621.

What is Amanda Tep's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Tep enrolled in Medicare?

Yes. Amanda Tep is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Tep was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.