Individual
AMANDA ORTENGREN
Active
Individual
AMANDA ORTENGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254230
MA
207R00000X
Internal Medicine Physician
58.003499
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
254230
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
34.010359
OH
Other
Enumeration date
02/18/2010
Last updated
09/27/2015
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