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Contact Information

AMY M TIERNEY, MD
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR97222-4628
 Phone: 971-206-5179
 Fax: 503-905-0495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for AMY M TIERNEY · (Female)

NPI # 1083907661
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2011
Last updated 05/11/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD173899
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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