Individual
DR. AMY ELIZABETH PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-8407
(503) 413-7361
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20580
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OR
Enumeration date
04/20/2006
Last updated
08/07/2007
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