Individual
JOSEFINA FIGUEROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4669 IDAHO AVE NE, SALEM, OR 97305-2732
(971) 240-1152
Mailing address
4669 IDAHO AVE NE, SALEM, OR 97305-2732
(971) 240-1152
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
504040
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3790846
DRIVERS LICENSE
OR
Enumeration date
03/23/2018
Last updated
03/23/2018
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