Amanda Michele Portman (NPI# 1992195325, PAC ID# 5890007660) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1992195325 |
| PAC ID by PECOS | 5890007660 |
| Professional Enrollment ID | I20150831001566 |
| Full Name | Amanda Michele Portman |
| Address |
1830 Destiny Ln Suite 112 Bowling Green KY 42104-1089 |
| Phone Number | 2709991152 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1089 | 2709991152 |
| Street Address |
1830 DESTINY LN SUITE 112 |
| City | BOWLING GREEN |
| State | KY |
| Zip | 42104-1089 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie E Wall | Clinical Social Worker | 1830 Destiny Ln, Suite 105, Bowling Green, KY 42104-1088 | |
| Lucille L Mcmichael | Clinical Social Worker | 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1089 | |
| Judy Lynn Stevens | Nurse Practitioner | 1830 Destiny Ln, Suite 118, Bowling Green, KY 42104-1089 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam R Kesri | Internal Medicine | 6040 Scottsville Rd, Bowling Green, KY 42104-0388 | |
| Michael J Collins | Family Medicine | 1340 Ellis Pl, Bowling Green, KY 42104-0602 | |
| James R Farrage Jr. | Physical Medicine and Rehabilitation | 1725 Mcintosh St, Bowling Green, KY 42104-1037 | |
| Freda Y Hubbard | Nurse Practitioner | Greenview Primecare LLC | 730 Campbell Ln, Bowling Green, KY 42104-1039 |
| Joseph R Allen | Family Medicine | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Haley G. Brewster | Nurse Practitioner | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Trina Rena Warden | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Tammy H Love | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Brandon Michael Goodpaster | Chiropractic | Spine Stop Bowling Green Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Darrell L Tade | Optometry | Precision Eye Care Professionals, Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Find all physicians in zip 42104 | |||
| City | BOWLING GREEN |
| Zip Code | 42104 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BOWLING GREEN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Amanda Michele Portman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.