Individual
TARANUM CHAUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
965 LIBERTY ST SE, SALEM, OR 97302-4138
(503) 588-2004
(503) 588-2415
Mailing address
965 LIBERTY ST SE, SALEM, OR 97302-4138
(503) 588-2004
(503) 588-2415
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
TO 363
OR
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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