Individual
MISS NORA CATHERINE STAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 SE JACKSON STREET, ROSEBURG, OR 97470
(541) 464-4235
Mailing address
PO BOX 688, WINCHESTER, OR 97495-0688
(310) 489-4187
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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