Individual
MS. IRMA ISABEL AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MARKET ST NE STE 530, SALEM, OR 97301-1835
(503) 930-0170
Mailing address
232 GLYNBROOK ST N, KEIZER, OR 97303-5649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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