Provider Demographics
NPI:1720257652
Name:AMES, DEBORAH KEMPE (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:KEMPE
Last Name:AMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:KEMPE
Other - Last Name:JACOBOWITZ AMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2931 SW LURADEL LN
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-6379
Mailing Address - Country:US
Mailing Address - Phone:971-710-5236
Mailing Address - Fax:
Practice Address - Street 1:8050 SW WARM SPRINGS ST STE 205
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-7440
Practice Address - Country:US
Practice Address - Phone:971-710-5236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD153103207QH0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine