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Individual

AMANDA GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2282 NW TROOST ST STE 103, ROSEBURG, OR 97471-6072
(541) 672-4798
Mailing address
2282 NW TROOST ST STE 103, ROSEBURG, OR 97471-6072
(541) 672-0497
(541) 957-5590

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.PA.61593122
WA
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
08/24/2020
Last updated
01/13/2025
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