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Individual

CHRISTOPHER LEE AMLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.S.

Contact information

Practice address
3303 SW BOND AVE, MAIL CODE CH10U, OHSU, UROLOGY, PORTLAND, OR 97239
(503) 418-9132
(503) 346-1501
Mailing address
3303 SW BOND AVE, MAIL CODE CH10U, OHSU, UROLOGY, PORTLAND, OR 97239
(503) 418-9132
(503) 346-1501

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
26881
AL
208800000X
Urology Physician
Primary
MD29001
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009933011
AL
05
009934507
AL
05
009934508
AL
01
051530720
BLUE CROSS
AL
01
051530721
BLUE CROSS
AL
01
051530722
BLUE CROSS
AL
01
07026095
MISSISSIPPI MEDICAID
MS
01
08335584
MISSISSIPPI MEDICAID
MS
01
D73083
VIVA
AL
01
P00253526
RAILROAD MEDICARE
AL
Enumeration date
05/22/2006
Last updated
11/01/2010
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