AMBER MOULTON-MISTER

PORTLAND, OR
NPI1861432163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  159703)
Additional Taxonomies363A00000X Physician Assistant
(Licence: GA  004679)
363A00000X Physician Assistant
(Licence: NM  2010-0006)
Enumeration Date2006-06-07
Last Update Date2015-05-21
Business Address
-- AMBER MOULTON-MISTER PA-C
2448 SE 89TH AVE SUITE 1
PORTLAND, OR 97216-2052
Phone number: 503-788-6483
Mailing Address
-- AMBER MOULTON-MISTER PA-C
2448 SE 89TH AVE SUITE 1
PORTLAND, OR 97216-2052
Phone number: 503-788-6483