Individual
SHIRLEY LYNN TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 PINE ST, NORTH BEND, OR 97459-1126
(541) 751-5186
Mailing address
3440 PINE ST, NORTH BEND, OR 97459-1126
(541) 751-5186
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
9628488347
OR
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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