Individual
MICAELA TOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 STATE ST, SALEM, OR 97301-3444
(971) 283-5262
Mailing address
246 STATE ST, SALEM, OR 97301-3444
(971) 283-5262
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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