Provider Demographics
NPI:1356193338
Name:MCALPINE, AMANDA DAWN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:DAWN
Last Name:MCALPINE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 71ST ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97478-4202
Mailing Address - Country:US
Mailing Address - Phone:541-556-3663
Mailing Address - Fax:
Practice Address - Street 1:66 CLUB RD STE 120
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2439
Practice Address - Country:US
Practice Address - Phone:541-972-7939
Practice Address - Fax:541-393-5984
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10039029363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health