Healthcare Provider Details

I. General information

NPI: 1720257652
Provider Name (Legal Business Name): DEBORAH KEMPE AMES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEBORAH KEMPE JACOBOWITZ AMES MD

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8050 SW WARM SPRINGS ST STE 205
TUALATIN OR
97062-7440
US

IV. Provider business mailing address

2931 SW LURADEL LN
PORTLAND OR
97219-6379
US

V. Phone/Fax

Practice location:
  • Phone: 971-710-5236
  • Fax:
Mailing address:
  • Phone: 971-710-5236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberMD153103
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: