Vicki Bern I

NPI 1043627169 - Counselor - 101YM0800X

NPI Details
NPI 1043627169
Gender Female
Enumeration Date 07/21/2014
Last Updated 07/21/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1245 EDGEWATER ST NW
SALEM OR, 97304-4049, US
Phone (503) 588-5816
Fax
Business Location
1245 EDGEWATER ST NW
SALEM OR, 97304-4049, US
Phone (503) 388-5816
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Vicki Bern I NPI is 1043627169, taxonomy code is 101YM0800X Vicki Bern I physically located at 1245 Edgewater St Nw, Salem OR, 97304-4049. NPI Number Vicki Bern I has the Individual type.

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1043627169 NPI number is provided on an as is basis without warranty of any kind. 1043627169 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Bern I are for informational purposes only.