Individual
SHANNON C RAMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
1095 25TH ST SE, SALEM, OR 97301-5049
(503) 399-7400
Mailing address
4517 43RD CT NE, SALEM, OR 97305-2201
(503) 999-3625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/22/2007
Last updated
08/10/2007
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