Individual
MRS. AMY MARILYN WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24076 SE STARK ST STE 230, GRESHAM, OR 97030-3385
(503) 488-2600
(503) 465-5468
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601006245
MI
363A00000X
Physician Assistant
Primary
PA218635
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285263
—
WA
05
—
500834098
—
OR
Enumeration date
02/14/2012
Last updated
12/09/2025
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