Individual
RACHEL SHANNON KITTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
565 UNION ST NE STE 205, SALEM, OR 97301-2418
(503) 991-5522
Mailing address
3566 HULSEY AVE SE, SALEM, OR 97302-2602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500666353
—
OR
Enumeration date
10/08/2021
Last updated
10/08/2021
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