Individual
SARAH RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 NW 17TH ST, ONTARIO, OR 97914-1909
(541) 350-8404
Mailing address
41 NW 17TH ST, ONTARIO, OR 97914-1909
(541) 350-8404
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
DD256412
OR
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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