IndividualActive
Amanda Blakely, DNP
NPI 1447094511 · Psychiatric/Mental Health Nurse Practitioner · Redmond, OR
Provider details
- NPI number
- 1447094511
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10028642 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone: (541) 904-5216
Fax: (541) 527-4347
Approximate (ZIP-level) locationGet directions
Mailing address
7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Additional practice locations (1)
- 1010 1st St Se Ste 110Bandon, OR 97411-9301Phone: (541) 347-2529
Registry dates
- Enumerated
- 2024-06-24
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.