| Roxanne K Livingston Ma Inc | |
|
185 13th St. Ne Salem OR 97301-4116 | |
| (503) 362-1172 | |
| Not Available |
| Full Name | Roxanne K Livingston Ma Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 185 13th St. Ne, Salem, Oregon |
| Authorized Official Name and Position | Roxanne K Livingston (PRESIDENT/COUNSELOR) |
| Authorized Official Contact | 5033621172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxanne K Livingston Ma Inc 185 13th St N.e Salem OR 97301-4116 Ph: (503) 362-1172 | Roxanne K Livingston Ma Inc 185 13th St. Ne Salem OR 97301-4116 Ph: (503) 362-1172 |
| NPI Number | 1316173511 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316173511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC0042 (Oregon) | Primary |
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