Elsome, Amanda K

Elsome, Amanda K is an individual health care provider with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Elsome, Amanda K can be contacted via phone (541) 732-5545.

Contact Information

Primary practice address
1111 Crater Lake Ave Medford OR 97504-6241
Phone: (541) 732-5545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2103 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 10003863 Oregon

Profile Details

NPI number 1346854759
LBN Legal business name Elsome, Amanda K
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2020
Last updated Apr 19th, 2023 - about 3 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.

Request for update

Popular Providers