Individual
MS. AMANDA ANN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
712 JAY STREET, FOSSIL, OR 97830
(541) 763-2725
(541) 763-2850
Mailing address
PO BOX 307, 712 JAY ST, FOSSIL, OR 97830
(541) 763-2725
(541) 763-2850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA161830
OR
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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