Individual
KATIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42087 N RIVER DR, SWEET HOME, OR 97386-9762
(541) 401-2180
Mailing address
42087 N RIVER DR, SWEET HOME, OR 97386-9762
(541) 401-2180
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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