Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063108322 Individual Practitioner Female Practitioner

Amber Mudong

Peer Specialist • Dallas, OR

Professional Overview & Biography Verified Profile Summary

Amber Mudong is a registered healthcare professional specializing in Peer Specialist in Dallas, OR. Practice services are available at 182 SW ACADEMY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

182 Sw Academy St

Dallas, OR 973381996

Telephone 5036239289
Associated Practice Facility / Clinic
🏢 Polk County Mental Health Facility NPI 1154447068

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Dallas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Dallas, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-23
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Davidson

Case Manager/Care Coordinator

NPI 1003355751
Rachel Huntley , BS

Psychologist - Intellectual & Developmental Disabilities

NPI 1003935446

Bachelor of Science

Larry Vuylsteke

Social Worker

NPI 1013128560
NPI 1013130137
Jedonne Jorstad , BA

Counselor - Mental Health

NPI 1013132893

Bachelor of Arts

Zachary Beeler

Counselor - Mental Health

NPI 1013525542

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address October 28, 2024

Registered at 3587 LIBERTY RD, DALLAS, OR 97338 (Tel: 9717166941)

📍
Updated Practice Location May 07, 2024

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036239289)

NPI Profile Active April 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2023

Registered at 213 NE 10TH ST, MCMINNVILLE, OR 971284825 (Tel: 9712612254)

📍
Updated Business Mailing Address April 11, 2023

Registered at 627 NE EVANS ST, MCMINNVILLE, OR 971283923 (Tel: 9712612254)

👤
Provider Name / Credentials Updated April 11, 2023

Recorded as AMBER MUDONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration April 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063108322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2023
Last Update: October 28, 2024
Sole Proprietor: Yes

Mailing Address

3587 Liberty Rd

Dallas, OR 97338

Phone: 9717166941

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.