Individual
AMANDA NICHOLE RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 767-4170
(547) 942-9310
Mailing address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 767-4170
(547) 942-9310
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
01/11/2021
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