Individual
DR. AMY E WELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
18735 SW BOONES FERRY RD, TUALATIN, OR 97062-8487
(503) 855-4546
Mailing address
22830 SW ENO PL, TUALATIN, OR 97062-7358
(503) 701-9375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7369
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
931297806
TAX IDENTIFICATION NUMBER
OR
Enumeration date
01/04/2007
Last updated
05/07/2018
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