Individual
MS. AMY T MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-4900
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML60093648
WA
207RR0500X
Rheumatology Physician
Primary
MD174732
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500694142
—
OR
Enumeration date
07/08/2009
Last updated
07/27/2024
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