Provider Demographics
NPI:1093000101
Name:SAVERY, AMANDA C (DO)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:C
Last Name:SAVERY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:C
Other - Last Name:FRESCHAUF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:34709 NINTH AVE SOUTH
Mailing Address - Street 2:SUITE B500
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003
Mailing Address - Country:US
Mailing Address - Phone:253-835-8800
Mailing Address - Fax:253-835-8828
Practice Address - Street 1:34709 NINTH AVE SOUTH
Practice Address - Street 2:SUITE B500
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003
Practice Address - Country:US
Practice Address - Phone:253-835-8800
Practice Address - Fax:253-835-8828
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COTL-4094390200000X
WAOP60560011207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program