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Individual

KATELYN RUSSELL-ATCHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHA

Contact information

Practice address
4080 REED RD SE STE 150, SALEM, OR 97302-1335
(503) 581-1732
Mailing address
PO BOX 1502, EUGENE, OR 97440-1502
(541) 344-1121
(541) 344-4780

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/29/2022
Last updated
09/29/2022
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