Russell, Amy Kay

Russell, Amy Kay is an individual health care provider with primary practice located at 1314 Ne Grand Ave , Portland OR 97232-1127. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Russell, Amy Kay can be contacted via phone (503) 280-2877.

Contact Information

Primary practice address
1314 Ne Grand Ave Portland OR 97232-1127
Phone: (503) 280-2877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 118534 Oregon

Profile Details

NPI number 1659111771
LBN Legal business name Russell, Amy Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2024
Last updated May 28th, 2024 - about last year

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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