Individual
RILEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
THW
Contact information
Practice address
2995 RYAN DR SE, SALEM, OR 97301-5157
(503) 371-7701
Mailing address
2995 RYAN DR SE, SALEM, OR 97301-5157
(503) 371-7701
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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