Gillcrist, Amy K

Gillcrist, Amy K is an individual health care provider with primary practice located at 1750 Blankenship Rd Suite 200, West Linn OR 97068-5101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gillcrist, Amy K can be contacted via phone (503) 908-1590.

Contact Information

Primary practice address
1750 Blankenship Rd Suite 200 West Linn OR 97068-5101
Phone: (503) 908-1590
Fax: (503) 723-2862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD21800 Oregon

Profile Details

NPI number 1952347528
LBN Legal business name Gillcrist, Amy K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Mar 6th, 2016 - about 8 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952347528 NPPES
Oregon MEDICAID 139378
Oregon Other P00252474

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