Individual
VICKI GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 ROBINS LN SE UNIT 9, SALEM, OR 97306-2736
(503) 383-6459
(503) 585-0491
Mailing address
2155 ROBINS LN SE UNIT 9, SALEM, OR 97306-2736
(503) 383-6459
(503) 585-0491
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
12/16/2015
Last updated
12/18/2015
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