Individual
AMANDA M DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W BOND ST, ASTORIA, OR 97103-6009
(503) 325-5722
(503) 325-8483
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-5722
(503) 861-2043
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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