Individual
AMANDA LEE MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
(541) 505-9190
Mailing address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000114037
OR
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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