Organization
JOEL AMUNDSON MD PC
Active
Other names
Dr. Joel's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL A AMUNDSON MD (PROVIDER OWNER)
(503) 342-2180
Entity
Organization
Contact information
Practice address
5231 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211-3235
(503) 342-2180
(503) 208-8023
Mailing address
5231 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211-3235
(503) 342-2180
(503) 208-8023
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003334053
REGENCE BLUESHIELD
OR
05
—
278409
—
OR
Enumeration date
01/22/2008
Last updated
04/12/2018
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