Individual
DR. DERON TRENT AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9701 SW BARNES RD STE 300, PORTLAND, OR 97225-6689
(503) 297-8081
(503) 292-6601
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD209693
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071384
—
WA
05
—
500709478
—
OR
Enumeration date
03/31/2016
Last updated
12/10/2025
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