Individual
MARIE POPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-7900
Mailing address
4437 ANTELOPE RD, WHITE CITY, OR 97503-1867
(541) 951-7086
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2015
Last updated
11/14/2015
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