Amy Killen, MD, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD164143 Issued in OR

Legal business name

AMY KILLEN, MD, LLC

Doing business as

BodyLogicMD of Portland

Practice address

1221 SW Yamhill St
Suite 300
Portland, OR 97205-2126

Phone

(877) 291-9611

NPI assigned

Sep 12, 2013

Last updated

Sep 12, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amy Killen, M.D.

Title

Owner / Physician

Phone

(512) 767-8105

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of Portland Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1326473075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SW YAMHILL ST",
            "address_2": "SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052126",
            "telephone_number": "877-291-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SW YAMHILL ST",
            "address_2": "SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052126",
            "telephone_number": "877-291-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY KILLEN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "KILLEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "512-767-8105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD164143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Leigh Amunategui, RPH
• Joel A. Amundson, M.D.
• John Darwin Amundson
• Marquitta Amupitan
• Amy Harris PSYD
• Amy Oldendorf
• Amy Robben, LCSW, LLC
• Amy Rose Boren
• An Integrated Life, LLC
• An Kang Natural Health Center (Luo Acupuncture and Herbal Clinic)

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.