Individual
DR. AMY MICHELE TUBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4411 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 494-9992
Mailing address
4411 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 494-9992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0052486
CO
207Q00000X
Family Medicine Physician
Primary
MD204185
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29459303
—
CO
Enumeration date
06/12/2006
Last updated
08/20/2021
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