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Individual

SERENA DAWN CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
1255 WALLACE RD NW, SALEM, OR 97304-3007
(503) 362-1314
(503) 362-5895
Mailing address
1255 WALLACE RD NW, SALEM, OR 97304-3007
(503) 362-1314
(503) 362-5895

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201507390NP-PP
OR

Other

Enumeration date
08/06/2013
Last updated
10/05/2015
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