Individual
AMY MELISSA TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5179
(503) 905-0495
Mailing address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5179
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD173899
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2011
Last updated
05/11/2020
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