Blake, Amanda

Blake, Amanda is an individual health care provider with primary practice located at 1100 K Ave , La Grande OR 97850-2131. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blake, Amanda can be contacted via phone (541) 962-8800.

Contact Information

Primary practice address
1100 K Ave La Grande OR 97850-2131
Phone: (541) 962-8800
Fax: (541) 963-5272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1588827950
LBN Legal business name Blake, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Jul 7th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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