Individual
AMANDA MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
10822 SE 82ND AVE STE B, HAPPY VALLEY, OR 97086-7658
(503) 308-8484
Mailing address
10822 SE 82ND AVE STE B, HAPPY VALLEY, OR 97086-7658
(503) 308-8484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6354
OR
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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