Individual
AMY ELIZABETH SOTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6400
Mailing address
2235 NE 26TH AVE, PORTLAND, OR 97212-5016
(503) 494-6205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00701
OR
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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