Individual
AMY KARYL KINZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10101 SE MAIN ST, #1001, PORTLAND, OR 97216-2455
(503) 255-3404
(503) 255-4750
Mailing address
10101 SE MAIN ST, #1001, PORTLAND, OR 97216-2455
(503) 255-3404
(503) 255-4750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
090007080N3
OR
Other
Enumeration date
06/10/2006
Last updated
01/17/2013
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