Individual
JADE LA BRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 812-5638
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3889077
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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