Individual
AMANDA RAE HUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W BROADWAY ST STE 320500W, MISSOULA, MT 59802-4008
(406) 329-5615
(406) 329-5606
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(406) 329-5615
(406) 329-5606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-141426
MT
363A00000X
Physician Assistant
PA61470216
WA
363AS0400X
Surgical Physician Assistant
PA61470216
WA
Other
Enumeration date
08/22/2022
Last updated
04/20/2025
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