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1083629588
AMY KATHERINE HENNINGER
PORTLAND, OR
NPI
1083629588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD20700)
Enumeration Date
2006-07-31
Last Update Date
2015-08-12
Business Address
AMY KATHERINE HENNINGER MD
421 SW OAK ST
PORTLAND, OR 97204-1817
Phone number: 503-988-7458
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Mailing Address
AMY KATHERINE HENNINGER MD
600 NE 8TH ST 3RD FLOOR
GRESHAM, OR 97030-7317
Phone number: 503-988-5155
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