Individual
VICTORIA HAIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BROADWAY ST NE, #403, SALEM, OR 97301-1420
(503) 709-1366
Mailing address
1300 BROADWAY ST NE, SALEM, OR 97301-1420
(503) 709-1366
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW0378
TRADITIONAL HEALTH WORKER
OR
Enumeration date
06/13/2016
Last updated
06/13/2016
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