Individual
IRLENE HUTCHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
2555 SILVERTON RD NE, SALEM, OR 97301-0837
(503) 393-4273
Mailing address
1555 MADISON ST NE # 222, SALEM, OR 97301-0446
(503) 393-4273
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000106883
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000106883
OREGON HEALTH AUTHORITY
OR
Enumeration date
06/29/2022
Last updated
06/29/2022
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