Mrs Amanda Rae Hendricks, LMT is a
Massage Therapist based in Condon, Oregon. Mrs Amanda Rae Hendricks is licensed to practice in Oregon (license number LMT023660) and her current practice location is
601 E. Court St, Condon, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 707-7400.
NPI number for Mrs Amanda Rae Hendricks is 1366921553 and her current mailing address is P.o. Box 5, 601 E. Court St, Condon, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366921553.
Healthcare Provider's Profile
Full Name | Mrs Amanda Rae Hendricks |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 601 E. Court St, Condon, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366921553
- Provider Enumeration Date: 08/09/2018
- Last Update Date: 08/09/2018
Medical Identifiers
Medical identifiers for Mrs Amanda Rae Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366921553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | LMT023660 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Rae Hendricks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Amanda Rae Hendricks, LMT P.o. Box 5, 601 E. Court St, Condon, OR 97823 Ph: (503) 707-7400 | Mrs Amanda Rae Hendricks, LMT 601 E. Court St, Condon, OR 97823 Ph: (503) 707-7400 |
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