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Organization

LADIES FIRST CHOICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOANIE POWELL (CO-OWNER)
(503) 363-3940
Entity
Organization

Contact information

Practice address
2375 GREAR ST NE, SALEM, OR 97301-2747
(503) 363-3940
(503) 363-1425
Mailing address
2375 GREAR ST NE, SALEM, OR 97301-2747
(503) 363-3940
(503) 363-1425

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230626
OR
Enumeration date
08/04/2005
Last updated
08/22/2020
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