Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Jo Gloudeman

Individual provider Peer Specialist · NPI 1265168348

Amanda Jo Gloudeman is a Peer Specialist in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1601 E 4th Plain Blvd
Vancouver, WA 98661-3713
Phone: (360) 397-8246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Peer Specialist Taxonomy 175T00000X · Licence CG61340298 (WA)

Record details

NPI number1265168348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2022
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023
Mailing address2815 E 19th St Apt S, Vancouver, WA 98661-4636

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