Individual
MRS. AMY KMETZ DITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4747 SKYLINE RD S, SALEM, OR 97306-4200
(503) 399-7520
(503) 362-7344
Mailing address
875 OAK ST SE, STE 390, SALEM, OR 97301
(503) 399-7520
(503) 362-7344
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03007
TX
Other
Enumeration date
04/10/2007
Last updated
11/08/2024
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