MR. John Eric Fordyce

NPI #1013627546 in Salem, Oregon

Provider Information

NPI Number: 1013627546
Entity Type: Individual
Name: MR. John Eric Fordyce
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 23, 2022
Last Updated: Nov 23, 2022

Practice Location

Address: 2045 SILVERTON RD NE STE A
City: Salem
State: Oregon
ZIP Code: 97301-0100
Phone: (593) 588-5358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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