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Individual

MELANIE LYNN DODSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 949-7576
Mailing address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 949-7576

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-09-23
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190702
OR
05
93-6002-307
OR
01
93-6002307
TAX ID
OR
05
93-6002307
OR
Enumeration date
03/19/2019
Last updated
03/19/2019
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