Individual
MICHELLE LYN TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QHMA
Contact information
Practice address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 362-5918
(503) 361-2650
Mailing address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 362-5918
(503) 361-2650
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
OR
Enumeration date
10/10/2019
Last updated
11/27/2023
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