Individual
DR. AMY SAMKUTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
426 SW STARK ST FL 2, PORTLAND, OR 97204-2303
(503) 988-5267
(503) 988-5781
Mailing address
426 SW STARK ST FL 2, PORTLAND, OR 97204-2303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010393
OR
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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