Individual
AMY KATHERYN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Mailing address
PO BOX 491, CANNON BEACH, OR 97110-0491
(307) 760-4262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201505838
OR
Other
Enumeration date
09/11/2013
Last updated
02/07/2017
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