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NPI Code Detail

MEDICARE: MS. AMY M BIEDENBACH MS, PA-C

MEDICARE: MS. AMY M BIEDENBACH MS, PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantPA214355OR
2363A00000XPhysician Assistant4054TN
3363AS0400XSurgical Physician Assistant006236GA
4363AS0400XSurgical Physician Assistant0454TN

General Provider Information

NPI Number : 1932298429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY M BIEDENBACH MS, PA-C
Provider Business Mailing Address
First Line : 1400 SW 5TH AVE STE 500
Second Line :
City : PORTLAND
State : OR
Zip : 97201-5537
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number : 503-494-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 04/07/2026

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