Individual
DIANA MAE KERP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 585-5351
(503) 585-4908
Mailing address
4745 DREW ST NE, SALEM, OR 97305-2302
(503) 390-9401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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