Individual
ALICYN JASMIN DE LEON RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
972 RIVER BEND RD NW, SALEM, OR 97304-2109
(971) 719-1438
Mailing address
972 RIVER BEND RD NW, SALEM, OR 97304-2109
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
9727586
OR
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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