Individual
KASSANDRA MONKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1075 SAGINAW ST S, SALEM, OR 97302-4159
(503) 967-6778
(503) 585-0491
Mailing address
1075 SAGINAW ST S, SALEM, OR 97302-4159
(503) 967-6778
(503) 585-0491
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
12/17/2015
Last updated
12/18/2015
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