Individual
GRACE ELLEN GEDLAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 SALEM DALLAS HWY NW, SALEM, OR 97304-3338
(503) 991-5091
Mailing address
671 CHURCH ST W APT 20, MONMOUTH, OR 97361-1362
(406) 897-4232
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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