Individual
MRS. ELIZABETH A CORONADO-SINCLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
681 CENTER ST NE, SALEM, OR 97301-3722
(503) 588-5828
(503) 588-5803
Mailing address
681 CENTER ST NE, SALEM, OR 97301-3722
(503) 588-5828
(503) 588-5803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
12/09/2009
Last updated
09/17/2010
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