Individual
SOFIA WITHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 PORTLAND RD NE, STE 120, SALEM, OR 97301-0198
(503) 390-5637
Mailing address
3635 DUPLEX DR SE, SALEM, OR 97302-3807
(503) 390-5637
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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