Individual
AMY KATHERINE HOMSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
917 SW OAK ST, PORTLAND, OR 97205-2829
(503) 309-3994
Mailing address
2507 NW SAVIER ST, PORTLAND, OR 97210-2411
(503) 309-3994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11781
OR
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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