Individual
AMANDA MARY MEHLHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
222 SE JEFFERSON ST, SHERIDAN, OR 97378-1924
(503) 843-4909
(503) 843-4216
Mailing address
222 SE JEFFERSON ST, SHERIDAN, OR 97378-1924
(503) 843-4909
(503) 843-4216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200841184RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201404303NP-PP
OR
Other
Enumeration date
11/25/2009
Last updated
08/25/2015
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