Individual
DEBRA LEE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
750 FRONT ST NE, SALEM, OR 97301-1089
(971) 332-7211
Mailing address
750 FRONT ST NE, SALEM, OR 97301-1089
(971) 332-7211
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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