Provider Demographics
NPI:1003162959
Name:CARD, AMY LYNNE (DO)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:LYNNE
Last Name:CARD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5050 SKYLINE VILLAGE LOOP S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-9490
Mailing Address - Country:US
Mailing Address - Phone:503-391-1110
Mailing Address - Fax:
Practice Address - Street 1:537 UNION AVE FL 1SR
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-5543
Practice Address - Country:US
Practice Address - Phone:541-507-2170
Practice Address - Fax:541-507-2171
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2022-03-10
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Provider Licenses
StateLicense IDTaxonomies
CA20A12978207Q00000X
ORDO172301207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine