Individual
AMANDA E CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
412 JEFFERSON PKWY STE 204, LAKE OSWEGO, OR 97035-1251
(541) 680-8386
Mailing address
3708 E CRESTVIEW DR, NEWBERG, OR 97132-9550
(541) 680-8386
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15564
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15564
STATE OF OREGON LICENSE
OR
Enumeration date
01/22/2010
Last updated
11/16/2020
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