Individual
AMY COLMER REAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD15206
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017645
—
OR
Enumeration date
07/26/2006
Last updated
07/08/2007
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