Individual
NICHOLE M BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13660 SE 120TH WAY, CLACKAMAS, OR 97015-8693
(971) 910-0010
Mailing address
2645 PORTLAND RD NE, SALEM, OR 97301-0198
(503) 390-5637
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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