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Individual

MRS. DEBRA JANAE RICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSS

Contact information

Practice address
2555 SILVERTON RD NE STE C, SALEM, OR 97301-0837
(503) 409-5511
Mailing address
1229 2ND ST NW, SALEM, OR 97304-4005
(503) 409-5511

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW0000992
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
THW0000992
OHA OFFICE OF EQUITY AND INCLUSION TRADITIONAL HEALTH WORKER
OR
Enumeration date
04/10/2017
Last updated
04/10/2017
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