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Vilma Chan Vasquez
Mental Health Counselor in Gervais, Oregon
NPI 1083166789

Vilma Chan Vasquez is a Mental Health Counselor based in Salem, OR and is specialized in Mental Health. Vilma Chan Vasquez practices in Gervais, OR. The NPI Number for Vilma Chan Vasquez is 1083166789 and holds a License No. (Oregon).

The current practice location address for Vilma Chan Vasquez is 300 Douglas Ave Ne, Gervais, OR and can be reached out via phone at 503-991-9165 and via fax at 503-566-2977.

Location: 300 Douglas Ave Ne, Gervais, OR, 97304-4517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083166789
Provider Name
Vilma Chan Vasquez
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Douglas Ave Ne, Gervais, OR, 97304-4517
Phone Number
503-991-9165
Fax Number
503-566-2977
Provider Enumeration Date
10/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Douglas Ave Ne
City
Gervais
State
Oregon
Zip
97026-4517
Phone Number
503-991-9165
Fax Number
503-566-2977
person
Provider Business Mailing Address Details
Address
300 Douglas Ave Ne
City
Gervais
State
Oregon
Zip
97026-4517
Phone Number
503-991-9165
Fax Number
503-566-2977
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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