Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA JO GLOUDEMAN
Active Sole ProprietorCase Management Agency · VANCOUVER, WA
Registration Details
- NPI Number
- 1265168348
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2022 (3.7741381580701 yrs)
- Last Updated
- May 2, 2023
- License
-
CG61340298 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 E 4TH PLAIN BLVDVANCOUVER, WA, 986613713Browse WA providers · Browse ZIP 98661
- Phone
- 3603978246
- Primary Specialty
-
Case Management Agency
251B00000X
- Additional Specialty
- Case Management Agency
Other Case Management Agency Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| GAIL FAHEY | M.D. | 1174915151 |
| KRISTY VERUCA | — | 1194531293 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.