ALEXIS MARIE AMATISTO

PORTLAND, OR
NPI1386263580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG210859)
Enumeration Date2020-04-09
Last Update Date2022-06-20
Business Address
ALEXIS MARIE AMATISTO DO
9205 SW BARNES RD STE MT2800
PORTLAND, OR 97225-6603
Phone number: 503-216-2621
Mailing Address
ALEXIS MARIE AMATISTO DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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