| Doctor Name: | MRS. AMANDA L SWINEHART |
| NPI Number: | 1043686504 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NNP |
| License Number: | 201506050NP-PP |
| Business Practice Address: | 5299 Lakeview Blvd Lake Oswego, OR - 970355464 |
| Business Phone Number: | 7402151612 |
| Business Fax Number: | |
| Mailing Address: | 5299 Lakeview Blvd, LAKE OSWEGO |
| State: | OR |
| Postal Code: | 970355464 |
| Phone Number: | 7402151612 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2015 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0005X |
| License Number: | 201506050NP-PP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal, Critical Care |
| Taxonomy Definition: | |