Individual
MRS. BRANDY LORRAINE MARTINEZ HEMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BROADWAY ST NE, SUITE 403, SALEM, OR 97301-1420
(541) 600-6395
Mailing address
1300 BROADWAY ST NE, SUITE 403, SALEM, OR 97301-1420
(541) 600-6395
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW0964
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW0964
TRADITIONAL HEALTH WORKER REGISTRY NUMBER
OR
Enumeration date
07/19/2016
Last updated
07/19/2016
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