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Individual

AMY KATHERINE CHAUMETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1580
(503) 674-1581
Mailing address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1580
(503) 674-1581

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22037
OR
208M00000X
Hospitalist Physician
MD22037
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287358
OR
Enumeration date
02/15/2006
Last updated
03/04/2011
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