| Amanda S. Warren, M.d. P.c. | |
|
142 Sw 2nd Ave Canby OR 97013-4152 | |
| (503) 263-1500 | |
| (503) 263-1505 |
| Full Name | Amanda S. Warren, M.d. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 142 Sw 2nd Ave, Canby, Oregon |
| Authorized Official Name and Position | Amanda S Gay (M.D.) |
| Authorized Official Contact | 5032631500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda S. Warren, M.d. P.c. 142 Sw 2nd Ave Canby OR 97013-4152 Ph: (503) 263-1500 | Amanda S. Warren, M.d. P.c. 142 Sw 2nd Ave Canby OR 97013-4152 Ph: (503) 263-1500 |
| NPI Number | 1740337088 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 05/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740337088 | NPI | - | NPPES |
| 286642 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD23207 (Oregon) | Primary |
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