Individual
MRS. PERCELLEIA BODDY TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 576-4579
Mailing address
1693 MAHOGANY CT NE, SALEM, OR 97301-1987
(503) 364-3642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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