Individual
AMY KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 SW GAINES ST, CDRC-P, PORTLAND, OR 97239-2901
(503) 494-5856
Mailing address
707 SW GAINES ST, CDRC-P, PORTLAND, OR 97239-2901
(503) 494-5856
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD24358
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227304
—
OR
Enumeration date
07/31/2006
Last updated
07/16/2007
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