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 1:6410 NE HALSEY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-4759
Mailing Address - Country:US
Mailing Address - Phone:503-215-2273
Mailing Address - Fax:503-215-8274
Practice Address - Street 1:10126 SW PARK WAY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-5008
Practice Address - Country:US
Practice Address - Phone:503-215-2273
Practice Address - Fax:503-215-8274
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD153103207QH0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine