Individual
ALISA ROSE AWTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N PROVIDENCE DR STE 210, NEWBERG, OR 97132-7582
(503) 537-5900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A138008
CA
207Q00000X
Family Medicine Physician
Primary
MD211147
OR
Other
Enumeration date
03/25/2014
Last updated
06/18/2023
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