# AMG OF WASHINGTON PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528653268
- **Authorized official:** MICHAEL J NOONAN MD (PRESIDENT)
- **Authorized official phone:** (888) 506-1858

## Contact information

- **Practice address:** 5440 SW WESTGATE DR STE 345, PORTLAND, OR 97221-2416
- **Practice address phone:** (888) 506-1858
- **Practice address fax:** (888) 508-5161
- **Mailing address:** 4045 E BELL RD STE 157, PHOENIX, AZ 85032-2240
- **Mailing address phone:** (602) 346-0204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2021
- **Last updated:** 03/04/2021