Individual
JULIE MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 871-8217
Mailing address
39973 GATES SCHOOL RD, GATES, OR 97346-9604
(503) 871-8217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201604970RN
OR
Other
Enumeration date
11/10/2016
Last updated
11/23/2016
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