Individual
AIDAN S ANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 576-2818
Mailing address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 576-2818
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/25/2023
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