Individual
LELA L PERCY-FRIZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA, PSS
Contact information
Practice address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 576-4555
Mailing address
3876 BEVERLY AVE NE BLDG G, SALEM, OR 97305-1319
(503) 576-4555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
08/14/2014
Last updated
04/09/2018
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