Individual
KATHERINE LINGMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1790 23RD ST. NE, SALEM, OR 97301
(503) 602-9966
Mailing address
1118 OAK ST SE, SALEM, OR 97301
(503) 585-4949
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9841091
—
OR
Enumeration date
09/04/2017
Last updated
12/27/2017
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