Individual
AMANDA LEIGH PEATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3939 NE HANCOCK ST STE 303, PORTLAND, OR 97212-5321
(619) 733-9698
Mailing address
10912 NE 104TH ST, VANCOUVER, WA 98662-3322
(619) 733-9698
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202105310NP-PP
OR
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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