Individual
AMANDA M LIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
541 WILLAMETTE ST STE 208B, EUGENE, OR 97401-2615
(316) 871-0895
(541) 306-6673
Mailing address
541 WILLAMETTE ST STE 208B, EUGENE, OR 97401-2615
(316) 871-0895
(541) 306-6673
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
141518
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150075
OR
Other
Enumeration date
08/25/2010
Last updated
10/04/2012
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