Bietz, Amanda

Bietz, Amanda is an individual health care provider with primary practice located at 3270 Liberty Rd S , Salem OR 97302-4560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromuscular Medicine, which is considered as her primary health care specialty. Bietz, Amanda can be contacted via phone (503) 371-0779.

Contact Information

Primary practice address
3270 Liberty Rd S Salem OR 97302-4560
Phone: (503) 371-0779
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X 62897 Oregon

Profile Details

NPI number 1811470743
LBN Legal business name Bietz, Amanda
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2018
Last updated Sep 6th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811470743 NPPES
Oregon Other 62897 OREGON STATE LICENSE

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