Organization
AMG OF OREGON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J NOONAN MD (PRESIDENT)
(888) 502-2291
Entity
Organization
Contact information
Practice address
5440 SW WESTGATE DR STE 345, PORTLAND, OR 97221-2416
(888) 502-2292
(888) 505-1381
Mailing address
4045 E BELL RD STE 157, PHOENIX, AZ 85032-2240
(602) 404-0015
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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