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Joseph Albert Amavisca, MD
Family Medicine Physician in Tualatin, Oregon
NPI 1316178189

Joseph Albert Amavisca is a Family Medicine Physician based in Tualatin, OR. Joseph Albert Amavisca practices in Tualatin, OR and has the professional credentials of MD. The NPI Number for Joseph Albert Amavisca is 1316178189 and holds a License No. (Oregon).

The current practice location address for Joseph Albert Amavisca is 19250 Sw 65Th Ave Ste 250, Tualatin, OR and can be reached out via phone at 503-808-9213 and via fax at 971-346-4465.

Location: 19250 Sw 65Th Ave Ste 250, Tualatin, OR, 97062-7745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316178189
Provider Name
Joseph Albert Amavisca
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19250 Sw 65Th Ave Ste 250, Tualatin, OR, 97062-7745
Phone Number
503-808-9213
Fax Number
971-346-4465
Provider Enumeration Date
07/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500672860 05 OR
institution
Provider Business Practice Location Address Details
Address
19250 Sw 65Th Ave Ste 250
City
Tualatin
State
Oregon
Zip
97062-7745
Phone Number
503-808-9213
Fax Number
971-346-4465
person
Provider Business Mailing Address Details
Address
19250 Sw 65Th Ave Ste 250
City
Tualatin
State
Oregon
Zip
97062-7745
Phone Number
503-808-9213
Fax Number
971-346-4465
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD156341 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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