Individual
BEVERLEY ANN SERVICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 MORROW CT NW, SALEM, OR 97304-1763
(503) 364-9015
Mailing address
2355 MORROW CT NW, SALEM, OR 97304-1763
(503) 364-9015
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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