Individual
LEVI S MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(971) 273-7502
Mailing address
2222 ALEX CT SE, SALEM, OR 97302-2193
(541) 604-1624
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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