Amy Rose Boren

Primary specialty

ContractorTaxonomy code 171W00000X

License

14529 Issued in OR

Legal business name

AMY ROSE BOREN

Practice address

8385 SW Carmel CT
Portland, OR 97223-6951

Phone

(503) 516-0287

NPI assigned

Oct 24, 2013

Last updated

Oct 24, 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

Amy R Boren

Title

LMT

Phone

(503) 516-0287

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1760810030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8385 SW CARMEL CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236951",
            "telephone_number": "503-516-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 SW CARMEL CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236951",
            "telephone_number": "503-516-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY ROSE BOREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "503-516-0287"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "14529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa An, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.