Individual
MANDY R PRESTENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 RUSSELL DR, LEBANON, OR 97355-3881
(541) 990-3465
Mailing address
635 RUSSELL DR, LEBANON, OR 97355-3881
(541) 990-3465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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