Individual
ADRIENNE HAYFORD AMSBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 TATONE ST, BOARDMAN, OR 97818-8076
(541) 481-7212
(541) 481-2020
Mailing address
PO BOX 397, BOARDMAN, OR 97818-0397
(541) 481-7212
(541) 481-2020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10015531
OR
363LF0000X
Family Nurse Practitioner
Primary
294058-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500854103
—
OR
05
—
682
—
UT
Enumeration date
01/26/2023
Last updated
02/10/2026
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