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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952347528 | NPPES |
Oregon | MEDICAID | 139378 | |
Oregon | Other | P00252474 |
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