Individual
AMANDA WADE WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1250 SW VETERANS WAY STE 120, REDMOND, OR 97756-2588
(541) 383-3005
(541) 383-1883
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202002014NP-PP
OR
Other
Enumeration date
07/23/2020
Last updated
10/07/2024
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