Individual
AMY BURKE GWARTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT #20514
Contact information
Practice address
1842 NW 25TH AVE, #1, PORTLAND, OR 97210
(503) 593-1399
Mailing address
1842 NW 25TH AVE, #1, PORTLAND, OR 97210
(503) 593-1399
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
20514
OR
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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