Individual
MS. CAROLYN WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
Q.M.H.A.
Contact information
Practice address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
(503) 362-4510
(503) 361-2650
Mailing address
PO BOX 12098, SALEM, OR 97309-0098
(503) 362-5918
(503) 361-2650
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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