Provider Demographics
NPI:1689448649
Name:PIERCE, AMIE DAWN (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:DAWN
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:DAWN
Other - Last Name:JARRARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:81477 MINNOW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:OR
Mailing Address - Zip Code:97452-9741
Mailing Address - Country:US
Mailing Address - Phone:541-521-6692
Mailing Address - Fax:
Practice Address - Street 1:725 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6008
Practice Address - Country:US
Practice Address - Phone:541-505-8621
Practice Address - Fax:541-654-5063
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10019942363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health