Individual
MRS. KATHERINE MAE SALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
174H00000X HEALTH ED
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 955-5519
Mailing address
781 BLACK OAK DR STE 102, MEDFORD, OR 97504-9501
(541) 955-5519
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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