Leanna J Irby QMHA

NPI 1134454507 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1134454507
Gender Female
Enumeration Date 10/02/2009
Last Updated 10/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1785 BERRY ST SE
SALEM OR, 97302-3004, US
Phone (503) 576-4570
Fax (503) 361-2782
Business Location
1785 BERRY ST SE
SALEM OR, 97302-3004, US
Phone (503) 576-4570
Fax (503) 361-2782
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Leanna J Irby QMHA NPI is 1134454507, taxonomy code is 171M00000X Leanna J Irby QMHA physically located at 1785 Berry St Se, Salem OR, 97302-3004. NPI Number Leanna J Irby QMHA has the Individual type.

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1134454507 NPI number is provided on an as is basis without warranty of any kind. 1134454507 is maintained by the National Plan & Provider Enumeration System. The contents of Leanna J Irby QMHA are for informational purposes only.