Individual
AMANDA GILDERSLEEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1095 N 1ST AVE, STAYTON, OR 97383-1203
(503) 767-3226
Mailing address
330 PINE ST SE, ALBANY, OR 97321-4628
(971) 246-9594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202210764NP-PP
OR
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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