Individual
MRS. KATHRYN MARY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 576-4571
(503) 576-4577
Mailing address
4570 ANTONIA AVE NE, SALEM, OR 97301-2183
(503) 584-1624
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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