Individual
JAUNDA LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
1190 BROADWAY ST NE, SALEM, OR 97301-1141
(503) 393-4273
Mailing address
324 NE 4TH AVE, MILL CITY, OR 97360-2211
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000111233
OR
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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