Individual
AMANDA S BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1050 10TH ST, SPRINGFIELD, OR 97477-4003
(541) 744-4389
Mailing address
1050 10TH ST, SPRINGFIELD, OR 97477-4003
(541) 744-4389
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202002642LPN
OR
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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