Individual
MISS CHARISSA E HUMLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4592
(503) 857-5183
Mailing address
6612 HIDDEN CREEK LOOP NE, KEIZER, OR 97303-7879
(503) 857-5183
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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