Individual
CHERYL MARLENE ROSECRANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
610 HAWTHORNE AVE SE STE 200, SALEM, OR 97301-5378
(503) 302-0104
(503) 581-0043
Mailing address
610 HAWTHORNE AVE SE STE 200, SALEM, OR 97301-5378
(503) 302-0104
(503) 581-0043
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000107234
OR
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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