Individual
CAROLEE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 SW SHIRLEY ANN DR, MCMINNVILLE, OR 97128-7665
(503) 474-4136
Mailing address
1535 SW SHIRLEY ANN DR, MCMINNVILLE, OR 97128-7665
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
07/01/2023
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