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General NPI Number Information
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NPI Number | 1730097528
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Entity Type | Individual
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Provider Name | AMANDA DIAZ
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 10868 E MAPLETON RD
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City | MAPLETON
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State | OR
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Zip | 97453-9603
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Country | US
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Telephone | 541-268-4471
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 STRATHMORE PL
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City | EUGENE
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State | OR
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Zip | 97405-1356
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Country | US
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Telephone | 541-461-8200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 015613
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License Number State | OR
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