Individual
AMANDA MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
832 SKYLARK LN, GRANTS PASS, OR 97527-6188
(541) 761-1926
Mailing address
832 SKYLARK LN, GRANTS PASS, OR 97527-6188
(541) 761-1926
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6053
OR
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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