Individual
AMANDA SUZANNE CHERRYHOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 NE HIGHWAY 101, LINCOLN CITY, OR 97367-3765
(541) 418-5118
(877) 388-8131
Mailing address
1808 NE HIGHWAY 101, LINCOLN CITY, OR 97367-3765
(541) 264-0457
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
4326
OR
Other
Enumeration date
07/08/2019
Last updated
05/18/2023
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