Earhart, Amy S

Earhart, Amy S is an individual health care provider with primary practice located at 703 Ne Hancock St , Portland OR 97212-3955. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Earhart, Amy S can be contacted via phone (503) 230-9875.

Contact Information

Primary practice address
703 Ne Hancock St Portland OR 97212-3955
Phone: (503) 230-9875
Fax: (503) 230-9877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00031951 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD19531 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19531 Oregon

Profile Details

NPI number 1790885796
LBN Legal business name Earhart, Amy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 24th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790885796 NPPES
Oregon MEDICAID 182930
Oregon MEDICAID 1039937

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