Amanda M Donovan
Peer Specialist in Astoria, OR. Individual provider (NPI-1).
NPI number1053906362
StatusActive
Last updated in NPPESMar 8, 2021
Details
- NPI
- 1053906362
- Entity type
- Individual (NPI-1)
- Name
- Amanda M Donovan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2021
- Certification date
- Mar 8, 2021
- Last updated
- Mar 8, 2021
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 |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
115 W Bond StAstoria, OR 97103-6009
Phone 503-325-5722 · Fax 503-325-8483
Mailing address
65 N Highway 101 Ste 204Warrenton, OR 97146-9371
Phone 503-325-5722 · Fax 503-861-2043
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Peer Specialist providers in Astoria · All 683 providers in Astoria
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