Individual
JANELLE NICOLE LEEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
4275 COMMERCIAL ST SE, SALEM, OR 97302-4086
(541) 480-6558
Mailing address
12493 NW 10TH ST, TERREBONNE, OR 97760-9745
(541) 977-3343
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000003048
OR
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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