Individual
VALISA WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5815 REED LN SE APT 130, SALEM, OR 97306-2916
(503) 884-8134
Mailing address
5815 REED LN SE APT 130, SALEM, OR 97306-2916
(503) 884-8134
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L17711
OR
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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