Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD153103 | OR |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD153103 | OR |
NPI | 1720257652 |
---|---|
Provider Name | Dr. Deborah Kempe Ames |
First Address | Portland, OR 97213-4759 |
Second Address | Portland, OR 97225-5008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2008 |
Last Update Date | 02/01/2019 |