Individual
DR. AMANDA LEIGH RISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
(503) 418-3939
Mailing address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
(503) 418-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25246
OR
2083P0901X
Public Health & General Preventive Medicine Physician
MD 25246
OR
Other
Enumeration date
08/08/2006
Last updated
01/22/2010
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