Organization
AMY KILLEN, MD, LLC
Active
Other names
BodyLogicMD of Portland
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY KILLEN M.D. (OWNER / PHYSICIAN)
(512) 767-8105
Entity
Organization
Contact information
Practice address
1221 SW YAMHILL ST, SUITE 300, PORTLAND, OR 97205-2126
(877) 291-9611
Mailing address
1221 SW YAMHILL ST, SUITE 300, PORTLAND, OR 97205-2126
(877) 291-9611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD164143
OR
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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