Individual
MS. AMY GEAN GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 444-1030
(541) 444-9678
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
(541) 444-1030
(541) 444-9678
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000003355
OR
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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