Individual
ALEXANDRIA MARY KOLODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2035 DAVCOR ST SE, SALEM, OR 97302-1595
(503) 585-4937
Mailing address
4255 MACLEAY RD SE, SALEM, OR 97317-5806
(785) 418-7098
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201509376LPN
OR
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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