Individual
MANDY M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 E LINCOLN RD, WOODBURN, OR 97071-5137
(503) 982-9300
Mailing address
20 TIERRA LYNN CT, WOODBURN, OR 97071-3433
(503) 962-9545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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