Individual
AMANDA R DURNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 5TH ST, HOOD RIVER, OR 97031-2058
(541) 399-2354
Mailing address
3300 CASCADE AVE, W-30, HOOD RIVER, OR 97031-9751
(541) 399-2354
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
14725
OR
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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