Individual
KATHY DEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 391-9762
Mailing address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 391-9762
(503) 315-2019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
086006807
OR
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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