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Individual

LEILNAI FORBIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 361-2794
Mailing address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 361-2794

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
12/09/2013
Last updated
12/09/2013
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