Bezold, Amy Schroder
Bezold, Amy Schroder is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd # L-579 , Portland OR 97239-3098. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Bezold, Amy Schroder can be contacted via phone (425) 761-0366.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd # L-579
Portland OR 97239-3098
Phone: (425) 761-0366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-9639 | Arkansas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R6745 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R6745 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | PG218962 | Oregon |
Profile Details
| NPI number | 1932442415 |
|---|---|
| LBN Legal business name | Bezold, Amy Schroder |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2013 |
| Last updated | Jun 3rd, 2024 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932442415 | NPPES |
| Texas | MEDICAID | 382826101 |
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