Individual
DR. AMY K GILLCRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1750 BLANKENSHIP RD, SUITE 200, WEST LINN, OR 97068-5101
(503) 908-1590
(503) 723-2862
Mailing address
18603 WILLAMETTE DR, SUITE 200, WEST LINN, OR 97068-1705
(503) 908-1590
(503) 723-2862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD21800
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139378
—
OR
01
—
P00252474
RR MEDICARE
OR
Enumeration date
06/21/2006
Last updated
03/06/2016
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