Individual
ERIKA E VIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
(503) 585-0669
Mailing address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
(503) 585-0669
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000108250
OR
Other
Enumeration date
02/13/2023
Last updated
03/24/2023
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