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Individual

BETH RENAY CLOOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200741578RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201805426NP-PP
OR

Other

Enumeration date
11/16/2010
Last updated
12/18/2023
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