Individual
AMANDA LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10714 NE GLISAN ST, PORTLAND, OR 97220-4046
(503) 254-2453
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 256-2453
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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