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Individual

LORA RAYLENE BARCENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5357
Mailing address
691 SITKA DEER CT NW, SALEM, OR 97304-3685
(503) 851-9690

Taxonomy

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

Other

Enumeration date
05/31/2008
Last updated
05/31/2008
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