IndividualActive
Amanda Smith, LPN
NPI 1205279601 · Licensed Practical Nurse · Lebanon, OR
Provider details
- NPI number
- 1205279601
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 20133064LPN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
485 Wagon Wheel Dr
Lebanon, OR 97355-3745
Phone: (541) 337-0376
Approximate (ZIP-level) locationGet directions
Mailing address
485 Wagon Wheel Dr
Lebanon, OR 97355-3745
Registry dates
- Enumerated
- 2013-04-16
- Last updated
- 2013-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.