Individual
MS. DINA ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
2995 RYAN DR SE STE 200, SALEM, OR 97301-5157
(971) 718-0305
(503) 485-3224
Mailing address
2995 RYAN DR SE STE 200, SALEM, OR 97301-5157
(971) 718-0305
(503) 485-3224
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW300109448
OR
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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