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1801838149
LORETTA ISLAS
SALEM, OR
NPI
1801838149
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Former Name
LORETTA PENNEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 02R28)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
-- LORETTA ISLAS CADC II
3750 CHEMAWA RD NE CHEMAWA INDIAN HEALTH CENTER
SALEM, OR 97305-1111
Phone number: 503-304-7600
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Mailing Address
-- LORETTA ISLAS CADC II
3750 CHEMAWA RD NE
SALEM, OR 97305-1111
Phone number: 503-304-7648
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