Provider Demographics
NPI:1487322921
Name:JAMSA, AMY KATHLEEN (PA-C)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:KATHLEEN
Last Name:JAMSA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 1517
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-0410
Mailing Address - Country:US
Mailing Address - Phone:877-708-1119
Mailing Address - Fax:541-278-8349
Practice Address - Street 1:4999 SKYLINE RD S
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-2878
Practice Address - Country:US
Practice Address - Phone:971-332-8445
Practice Address - Fax:503-566-3469
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2022-10-04
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Provider Licenses
StateLicense IDTaxonomies
OR363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant