Amy Melissa Tierney
Family Doctor - Geriatric Medicine
4560 Se International Way Ste 100
Milwaukie
, Oregon 97222-4628
Amy Melissa Tierney
Family Doctor - Geriatric Medicine
4560 Se International Way Ste 100
Milwaukie
, Oregon 97222-4628
(971) 206-5179
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Amy Melissa Tierney
- 4560 Se International Way Ste 100
- Milwaukie, OR
- Zip : 97222-4628
- Phone : (971) 206-5179
Second Address
- Amy Melissa Tierney
- 4560 Se International Way Ste 100
- Milwaukie, OR
- Zip : 97222-4628
- Fax : (503) 905-0495
- Phone : (971) 206-5179
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD173899 | OR |
National Provider Identifier
| NPI | 1083907661 |
|---|---|
| Provider Name | Amy Melissa Tierney |
| First Address | Milwaukie, OR 97222-4628 |
| Second Address | Milwaukie, OR 97222-4628 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2011 |
| Last Update Date | 11/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.