Individual
SAMANTHA VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3220 LIBERTY RD S, SALEM, OR 97302-4560
(503) 371-0779
Mailing address
3220 LIBERTY RD S, SALEM, OR 97302-4560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
452572
OR
Other
Enumeration date
06/24/2021
Last updated
08/15/2024
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