Individual
MALIA LORAINE AMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
51 SW LEE ST, NEWPORT, OR 97365-3823
(541) 574-5960
Mailing address
3551 S SCHOONER CREEK RD, LINCOLN CITY, OR 97367-9746
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
110827
OR
175T00000X
Peer Specialist
23-CRM-2731
OR
Other
Enumeration date
02/07/2024
Last updated
11/04/2025
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