Amanda Salas
Licensed Practical Nurse in Eagle Point, OR. Individual provider (NPI-1).
NPI number1023930591
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1023930591
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Salas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 40997 | CT | Yes |
Practice location
133 Valemont DrEagle Point, OR 97524-8652
Phone 860-601-2955
Mailing address
133 Valemont DrEagle Point, OR 97524-8652
Phone 860-601-2955
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