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

Amy Samantha Peck

Individual provider Primary Care Nurse Practitioner · NPI 1174170682

Amy Samantha Peck is a Primary Care Nurse Practitioner in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

12710 SE Division St
Portland, OR 97236-3134
Phone: (503) 988-3601
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 201907329NP-PP (OR)

Record details

NPI number1174170682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 20, 2019

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