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Individual

JUDITH IRENE NIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRM, PSS

Contact information

Practice address
797 WINTER ST NE, SALEM, OR 97301-2430
(503) 363-2021
Mailing address
PO BOX 17818, SALEM, OR 97305-7818
(503) 363-2021

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OR

Other

Enumeration date
04/09/2024
Last updated
04/09/2024
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