Individual
MORIAH LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
4080 REED RD SE STE 150, SALEM, OR 97302-1335
(503) 581-1732
(503) 363-4607
Mailing address
3250 FELINA AVE NE APT 212, SALEM, OR 97301-1376
(509) 420-0041
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
24-QMHA-R-5041
OR
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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