Individual
MS. AMANDA KAYE HAFEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
58401 LINDSAY LN, WARREN, OR 97053-9303
(503) 410-2642
Mailing address
52673 SHEENA PL, SCAPPOOSE, OR 97056-3329
(503) 410-2642
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
202106001RN
OR
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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