Organization
AMANDA S. WARREN, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA S GAY M.D. (M.D.)
(503) 263-1500
Entity
Organization
Contact information
Practice address
142 SW 2ND AVE, CANBY, OR 97013-4152
(503) 263-1500
(503) 263-1505
Mailing address
142 SW 2ND AVE, CANBY, OR 97013-4152
(503) 263-1500
(503) 263-1505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23207
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286642
—
OR
Enumeration date
01/05/2007
Last updated
05/18/2015
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