Individual
BARBARA SUZZANNE ERNSDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 RYAN DR SE STE 200, SALEM, OR 97301-5157
(503) 371-7701
Mailing address
2995 RYAN DR SE, SALEM, OR 97301-5157
(503) 371-7701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2007
Last updated
04/16/2025
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