Individual
MISS WILMA JEAN MARCHBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
4285 COMMERCIAL ST SE, SUITE 120, SALEM, OR 97302-4371
(503) 399-7474
(503) 399-0679
Mailing address
3990 LOR LN NE, KEIZER, OR 97303-4791
(971) 388-6211
(503) 399-0679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YP1600X
Pastoral Counselor
—
OR
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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