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Organization
AMG OF WASHINGTON PC
Active
Organization
AMG OF WASHINGTON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J NOONAN MD (PRESIDENT)
(888) 506-1858
Entity
Organization
Contact information
Practice address
5440 SW WESTGATE DR STE 345, PORTLAND, OR 97221-2416
(888) 506-1858
(888) 508-5161
Mailing address
4045 E BELL RD STE 157, PHOENIX, AZ 85032-2240
(602) 346-0204
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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