Healthcare Provider Details

I. General information

NPI: 1326952441
Provider Name (Legal Business Name): AMANDA SOLAR DNP, FNP-BC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 NE 7TH ST
GRANTS PASS OR
97526-1420
US

IV. Provider business mailing address

1178 NE COTTAGE LN
GRANTS PASS OR
97526-6010
US

V. Phone/Fax

Practice location:
  • Phone: 541-472-3223
  • Fax:
Mailing address:
  • Phone: 858-213-1024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10004527
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10004527
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: