Individual
AMY SUZANNE THURMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17050 PILKINGTON RD, 130, LAKE OSWEGO, OR 97035-6306
(503) 305-5432
(503) 305-7294
Mailing address
17050 PILKINGTON RD, 130, LAKE OSWEGO, OR 97035-6306
(503) 305-5432
(503) 305-7294
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD13691
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021675
—
OR
Enumeration date
11/21/2006
Last updated
07/22/2015
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