Individual
ITZEL RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 STATE ST, SALEM, OR 97301-3444
(458) 210-8641
Mailing address
246 STATE ST, SALEM, OR 97301-3444
(458) 210-8641
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000110204
OR
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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