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Individual

SITATE GELGELU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4629 WARD DR NE, SALEM, OR 97305-3161
(971) 707-8057
Mailing address
4629 WARD DR NE, SALEM, OR 97305-3161
(971) 707-8057

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/12/2025
Last updated
05/12/2025
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