Individual
ROGER PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
3000 MARKET ST NE, SALEM, OR 97301-1882
(602) 574-5813
Mailing address
3000 MARKET ST NE, PLAZA 228, SALEM, OR 97301
(602) 574-5813
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/01/2021
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