Organization Active NPI

Amanda S. Warren, M.D. P.C.

  • Family Medicine Physician
  • Canby, OR
National Provider Identifier
1740337088
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD23207 Issued in OR
Legal business name
AMANDA S. WARREN, M.D. P.C.
Practice address
142 SW 2ND Ave
Canby, OR 97013-4152
Phone
(503) 263-1500
Fax
(503) 263-1505
NPI assigned
Jan 5, 2007
Last updated
May 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Amanda S Gay, M.D.
Title
M.D.
Phone
(503) 263-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD23207 OR Primary

Addresses

Primary practice location

142 SW 2ND Ave
Canby, OR 97013-4152

Mailing address

142 SW 2ND Ave
Canby, OR 97013-4152
Phone (503) 263-1500

Other identifiers 1

IdentifierTypeStateIssuer
286642MedicaidOR

National Provider Directory

National Provider Directory

Locations

142 SW 2nd Ave
Canby, OR 97013
Phone (503) 263-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1740337088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134152",
            "telephone_number": "503-263-1500",
            "fax_number": "503-263-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134152",
            "telephone_number": "503-263-1500",
            "fax_number": "503-263-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA S. WARREN, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "503-263-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD23207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286642",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.