Individual
JULIA HUMPHREVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
Mailing address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18-P-20
OR
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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