Individual provider · Type 1 NPI

Amanda Lackey

Student in an Organized Health Care Education/Training Program · Corvallis, OR

NPI number 1023808466 Active

Practice location

203 Pharmacy Bldg
Corvallis, OR 97331-8537

Call (541) 737-3424 Map

Mailing address

2025 Quail Run Ave
Stayton, OR 97383-9537

Other practice locations

  • 2025 Quail Run Ave, Stayton, OR 97383-9537 · (503) 800-1307

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023808466

Amanda Lackey's National Provider Identifier is 1023808466, issued on May 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corvallis, OR. The record was last updated on May 8, 2025.