Provider Demographics
NPI:1538635420
Name:GALINDO-ORTEGA, AMY YVONNE (CG 60881226)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:YVONNE
Last Name:GALINDO-ORTEGA
Suffix:
Gender:F
Credentials:CG 60881226
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 LIESER CT
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-2527
Mailing Address - Country:US
Mailing Address - Phone:360-606-0800
Mailing Address - Fax:
Practice Address - Street 1:9105 NE HIGHWAY 99 STE 201
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8974
Practice Address - Country:US
Practice Address - Phone:360-597-9721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60881226174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist