Individual
MS. DESIRAE KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3876 BEVERLY AVE NE, BLDG G, SALEM, OR 97305-1319
(503) 763-5741
(503) 361-2728
Mailing address
3876 BEVERLY AVE NE, BLDG G, SALEM, OR 97305-1319
(503) 763-5741
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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