Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Lackey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023808466

Amanda Lackey is a Student in an Organized Health Care Education/Training Program in Corvallis, Oregon. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

203 Pharmacy Bldg
Corvallis, OR 97331-8537
Phone: (541) 737-3424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2025 Quail Run Ave, Stayton, OR 97383-9537 — (503) 800-1307

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023808466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 8, 2025
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address2025 Quail Run Ave, Stayton, OR 97383-9537

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