PENNY LAYNE NICOLE THORNBURG

SALEM, OR
NPI1295265437
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-06-19
Last Update Date2017-06-19
Business Address
PENNY LAYNE NICOLE THORNBURG
3737 PORTLAND RD NE
SALEM, OR 97301-0311
Phone number: 503-485-8977
Mailing Address
PENNY LAYNE NICOLE THORNBURG
PO BOX 20400
KEIZER, OR 97307-0400
Phone number: 503-390-2600
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