Individual
AMANDA PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10 PIER 1 STE 308, ASTORIA, OR 97103-6338
(503) 974-0914
Mailing address
91660 TAYLORVILLE RD, CLATSKANIE, OR 97016-8258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29206
OR
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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