Individual
PRISCILLA L MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
799 LONG ST, SWEET HOME, OR 97386-3304
(541) 367-3888
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
OR
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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