Stenson, Amy L.

Stenson, Amy L. is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd 3181 Sw Sam Jackson Park Rd, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Stenson, Amy L. can be contacted via phone (310) 279-3079.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd 3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (310) 279-3079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X A93867 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 159062 Oregon

Profile Details

NPI number 1629286323
LBN Legal business name Stenson, Amy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Nov 6th, 2012 - about 14 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 1629286323 NPPES
California MEDICAID 00A938670

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