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Individual

CANDACE ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1143 LIBERTY ST NE, SALEM, OR 97301-1047
(503) 588-5825
(503) 361-0383
Mailing address
1143 LIBERTY ST NE, SALEM, OR 97301-1047
(503) 588-5825
(503) 361-0383

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/26/2006
Last updated
04/07/2009
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