Individual
AMANDA MAYHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 W 11TH AVE, EUGENE, OR 97402-5414
(541) 344-3440
Mailing address
1066 APPLEGATE PL, HARRISBURG, OR 97446-8703
(801) 897-1345
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
251203
OR
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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