Individual
AMANDA EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MARKET ST NE STE 530, SALEM, OR 97301-1835
(503) 390-5637
Mailing address
2532 GOULD AVE, MEDFORD, OR 97504-4819
(541) 840-1511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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