Individual
MARCEL LAVIOLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 6TH ST, DAYTON, OR 97114-9733
(503) 765-4459
Mailing address
223 6TH ST, DAYTON, OR 97114-9733
(503) 765-4459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
172V00000X
Community Health Worker
Primary
THW000106170
OR
Other
Enumeration date
02/17/2022
Last updated
03/08/2022
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