NPI 1013284561
Amanda Marie Standiford, BS
Practice location
- Address
- 5023 NE Killingsworth St, Portland, OR 97218-1915
- Phone
- (503) 284-4249
- Fax
- (503) 284-6585
- Mailing address
- PO Box 8459, Portland, OR 97207-8459
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1013284561
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Nov 2011
- Record last updated
- 29 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.