Individual
LAURIE ANN DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS, THW, CRM
Contact information
Practice address
565 UNION ST NE STE 105, SALEM, OR 97301-2416
(503) 363-2021
Mailing address
PO BOX 17818, SALEM, OR 97305-7818
(503) 363-2021
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
23-CRM-1907
OR
175T00000X
Peer Specialist
Primary
THW000105404
OR
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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