Individual
AMANDA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
1055 CAPITOL ST NE APT 202, SALEM, OR 97301-1265
(503) 569-3379
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202008930LPN
OR
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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