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Individual

REBECCA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 BROADWAY ST NE, #403, SALEM, OR 97301-1420
(503) 363-8068
(503) 390-3161
Mailing address
1300 BROADWAY ST NE, #403, SALEM, OR 97301-1420
(503) 363-8068
(503) 390-3161

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CA

Other

Enumeration date
11/15/2016
Last updated
11/15/2016
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