Individual
AMY THEPPOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6542 SE LAKE RD STE 102, MILWAUKIE, OR 97222-2245
(503) 659-6686
(503) 905-6202
Mailing address
6542 SE LAKE RD STE 102, PORTLAND, OR 97222-2245
(503) 659-6686
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP184377
OR
Other
Enumeration date
03/26/2014
Last updated
03/17/2018
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