Individual
AMANDA SILUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1219 SW 4TH AVE UNIT 1, ONTARIO, OR 97914-4500
(541) 889-2668
Mailing address
1219 SW 4TH AVE UNIT 1, ONTARIO, OR 97914-4500
(541) 889-2668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1223
ID
Other
Enumeration date
03/09/2015
Last updated
10/05/2021
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