Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD60776453 | WA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD60776453 | WA |
NPI | 1679548341 |
---|---|
Provider Name | Dr. Amy L. O'boyle |
First Address | Portland, OR 97208-3360 |
Second Address | Olympia, WA 98506-5028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 23/06/2021 |