Individual
MS. SARA JANE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
681 CENTER ST NE, SALEM, OR 97301-3722
(503) 588-5828
Mailing address
150 KINGWOOD AVE NW, SALEM, OR 97304-4030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
11/05/2007
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