Individual
JILL SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 763-5780
Mailing address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 763-5780
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
OR
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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