Individual
AMIDA HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Mailing address
2408 NE DIVISION ST STE 100, BEND, OR 97703-3543
(541) 382-7521
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP217998
OR
Other
Enumeration date
07/24/2019
Last updated
11/04/2025
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