Individual
AMANDA DANIELLE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 750-1122
Mailing address
39967 WARD RD, MONMOUTH, OR 97361-9420
(541) 929-2291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201040297RN
OR
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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