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VILMA CHAN VASQUEZ

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1083166789
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
4415 RIVER RD N, KEIZER, OR, 973035552
Phone
(503) 991-9165
Fax
(503) 566-2977

Specialties & Taxonomies

Social Worker, Clinical Primary License: OR #L11082

All Addresses

MAILING

1495 SHADY LN NE

KEIZER, OR, 973034031

(503) 991-9165

LOCATION

4415 RIVER RD N

KEIZER, OR, 973035552

(503) 991-9165