Individual
DEBORAH PICCIRILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306-9490
(503) 391-1110
Mailing address
3737 ILLAHE CT S, SALEM, OR 97302-9327
(503) 506-6658
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202009559NP
OR
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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