Individual
MS. LISA DINA HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MARKET ST NE, SUITE 530, SALEM, OR 97301-1882
(503) 390-5637
Mailing address
1942 MADRAS ST SE, APARTMENT 1056, SALEM, OR 97306-2196
(503) 362-2627
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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