IndividualActive
Amanda Gildersleeve, NP-C
NPI 1114652369 · Family Nurse Practitioner · Stayton, OR
Provider details
- NPI number
- 1114652369
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 202210764NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1095 N 1st Ave
Stayton, OR 97383-1203
Phone: (503) 767-3226
Approximate (ZIP-level) locationGet directions
Mailing address
330 Pine St Se
Albany, OR 97321-4628
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2022-07-21
- Certified
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.