Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A97065 | CA |
Y | 2080P0202X | Pediatric Cardiologist | A97065 | CA |
N | 2080P0202X | Pediatric Cardiologist | MD29286 | OR |
N | 2080P0203X | Pediatric Critical Care Doctor | A97065 | CA |
N | 2080P0203X | Pediatric Critical Care Doctor | MD29286 | OR |
NPI | 1093903056 |
---|---|
Provider Name | Dr. Amy Nicole Mccammond |
First Address | Portland, OR 97239 |
Second Address | San Francisco, CA 94143-2204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2007 |
Last Update Date | 17/03/2018 |