Individual
MRS. CASIE DAWN MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 25TH ST NE, SALEM, OR 97301-1604
(503) 362-1399
Mailing address
1137 25TH ST NE, SALEM, OR 97301-1604
(503) 362-1399
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/22/2007
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