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Contact Information

AMANDA W MCCARTY, DPM
1693 SW CHANDLER AVE
SUITE 280
BEND, OR97702-3231
 Phone: 541-385-7129
 Fax: 541-385-7138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AMANDA W MCCARTY · (Female)

NPI # 1063630929
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/23/2007
Last updated 02/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DP00439
  • OR Medicaid 026196
  • OR Other 820226002 BCBSO
Hospital affiliation(s)
  • ST CHARLES MEDICAL CENTER - BEND - (Acute Care)
    2500 NE NEFF ROAD
    BEND, OR 97701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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