Individual
CYNTHIA VERMILLION DECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
3225 STATE ST, SALEM, OR 97301-5063
(503) 584-2301
Mailing address
PO BOX 367, 82936 OAK DR, DEXTER, OR 97431-0367
(503) 539-4363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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