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Individual

AMANDA GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3517 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3768
(541) 768-4280
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1036547
OR
133V00000X
Registered Dietitian
Primary
LD-D-10194322
OR

Other

Enumeration date
10/01/2018
Last updated
06/19/2024
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