Individual
DELLA M RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
4890 32ND AVE SE, SALEM, OR 97317-9350
(503) 588-5647
(503) 588-0509
Mailing address
4890 32ND AVE SE, SALEM, OR 97317-9350
(503) 588-5647
(503) 588-0509
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/19/2013
Last updated
02/20/2015
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