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AMBER MOULTON-MISTER PA-C
NPI 1861432163
Physician Assistant in Portland, OR

Active since June 07, 2006
2448 SE 89TH AVE, SUITE 1, PORTLAND, OR 97216(503) 788-6483(503) 772-7914 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amber Moulton-mister Pa-c NPPES

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

AMBER MOULTON-MISTER PA-C (NPI 1861432163) is an individual physician assistant in Portland, Oregon, licensed in Oregon (159703) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1861432163
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMBER MOULTON-MISTERCredential: PA-C
Location Address2448 SE 89TH AVE, SUITE 1Portland, OR 97216-2052
Mailing Address2448 Se 89th Ave, Suite 1Portland, OR 97216-2052 · (503) 788-6483 · Fax (503) 772-7914
Phone(503) 788-6483
Fax(503) 772-7914
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 21, 2015
✔ NPI 1861432163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OR · 159703✔ Licensed in GA · 004679✔ Licensed in NM · 2010-0006
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2448 SE 89TH AVE, Portland, OR 97216
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Other Identifiers 5

Medicare NSC2021979879OR
Medicare UPINQ58081GA
Other97WCHDKGA · Medicare-type Unspecified
Medicaid499847420AGA
Medicaid500652768OR

Other Providers at the Same Location NPPES 3

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

LINDA NGUYEN
Chiropractor
2448 SE 89TH AVE
PORTLAND, OR 97216
Multnomah County (503) 771-5555
A PLUS MEDICAL SUPPLY
Durable Medical Equipment & Medical Supplies
2448 SE 89TH AVE, SUITE 1
PORTLAND, OR 97216
Multnomah County (503) 775-1112
TRAN BIZ INC
Clinic/Center (Primary Care)
2448 SE 89TH AVE, SUITE 1
PORTLAND, OR 97216
Multnomah County (503) 788-6483

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 Moulton-mister's NPI number?

The NPI number for Amber Moulton-mister is 1861432163. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Amber Moulton-mister located?

Amber Moulton-mister practices at 2448 SE 89th Ave Suite 1, Portland, OR 97216. The listed phone number is (503) 788-6483.

What is Amber Moulton-mister's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Amber Moulton-mister was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.