Individual
SUSAN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1073 OAK ST SE, SALEM, OR 97301-4018
(503) 585-4949
Mailing address
3125 OAK KNOLL RD NW, SALEM, OR 97304-9780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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