Individual
SARA MCNINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
2645 PORTLAND RD NE STE 120, SALEM, OR 97301-0200
(971) 900-9057
Mailing address
3328 ARGYLE DR S, SALEM, OR 97302-4628
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
106792
OR
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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