Individual
MS. DEBORAH NICOLETTE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
Mailing address
2995 RYAN DR SE STE 200, SALEM, OR 97301-5157
(503) 580-4557
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-11-39
CADC
OR
Enumeration date
01/29/2007
Last updated
09/14/2021
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