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

Mrs. Amanda Lee Staudt, AGACNP

Individual provider Registered Nurse · NPI 1245717933

Mrs. Amanda Lee Staudt, AGACNP is a Nurse Practitioner in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2018, 8 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone: (503) 494-5300
Fax: (503) 494-6519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 201809395NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201340409RN (OR)

Record details

NPI number1245717933
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJuly 25, 2018
Last updated in NPPESJanuary 2, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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