Amanda Salas
Individual provider Active NPI Licensed Practical Nurse · Eagle Point, OR
NPI 1023930591 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1023930591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 40997 (CT)
- Practice address
- 133 Valemont Dr
Eagle Point, OR 97524-8652 - Phone
- (860) 601-2955
- NPI assigned
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 40997 | CT | Yes |
Addresses
Primary practice location
133 Valemont Dr
Eagle Point, OR 97524-8652
Mailing address
133 Valemont Dr
Eagle Point, OR 97524-8652
Phone (860) 601-2955
Other providers in Eagle Point, OR
- Wendy Robinson
- Rogue Community Health
- Rogue Community Health
- Rogue Community Health
- Judy Alethe Rudy
- Jennifer D Schnell
- Brandon Matthew Schultz
- Theresa L Sexton
- Dean Albert Shrock
- Kimberly A Skomerza
All providers in Eagle Point, OR · Licensed Practical Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.