Individual
DORIS CANCEL-TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 361-2724
Mailing address
6298 SW GRAND OAKS DR, APT. B-303, CORVALLIS, OR 97333-4496
(541) 368-7720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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