IndividualActive
Amanda Fobare, M.D.
NPI 1639564941 · Vascular Surgery Physician · Clackamas, OR
Provider details
- NPI number
- 1639564941
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD211597 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10100 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 571-3069
Approximate (ZIP-level) locationGet directions
Mailing address
10100 Se Sunnyside Rd
Clackamas, OR 97015-8970
Additional practice locations (1)
- 1364 Clifton Rd NeH100 Emory University Hospital, 1st FloorAtlanta, GA 30322-1059Phone: (404) 727-0093
Registry dates
- Enumerated
- 2015-04-02
- Last updated
- 2022-11-10
- Certified
- 2022-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.