Individual
AMY KATHERINE OWOTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213-1545
(503) 215-6556
Mailing address
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213-1545
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
201143132RN
OR
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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