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Individual

MIKE NORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4080 REED RD SE STE 150, SALEM, OR 97302-1335
(503) 581-1732
Mailing address
4080 REED RD SE STE 150, SALEM, OR 97302-1335
(503) 581-1732

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/06/2018
Last updated
10/17/2018
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