Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY NICOLE DESENBERG
Deactivated Sole ProprietorAMY NICOLE DESENBERG is a Adult Companion healthcare provider located in PORTLAND, Oregon. NPI 1316248164 is deactivated in the NPPES registry. Verify at CMS.
Adult Companion · PORTLAND, OR
This NPI has been deactivated.
The record was deactivated on February 19, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1316248164
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2010 (9.275956284153 yrs)
- Last Updated
- Apr 9, 2020
- Deactivated
- Feb 19, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
847 NE 19TH AVEPORTLAND, OR, 972322684Browse OR providers · Browse ZIP 97232
- Phone
- 5032380769
- Fax
- 5035526208
- Primary Specialty
-
Adult Companion
372600000X
Other Adult Companion Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MISS RENEE ERICA BOAK | QMHA | 1508899550 |
| BJ CASTLEMAN | MSW, QMHP | 1295743623 |
| CLARKE D. GALUSHA | QMHA | 1912060237 |
| SANDRA WILBORN | MS, BA | 1710041744 |
| CHRISTOPHER DANIEL JUDSON | — | 1316096316 |
| LAURA JANE YOUNG | — | 1376692442 |
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.