Miranda Lynne King

NPI #1033691027 in Salem, Oregon

Provider Information

NPI Number: 1033691027
Entity Type: Individual
Name: Miranda Lynne King
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 5, 2018
Last Updated: Sep 5, 2018

Practice Location

Address: 2645 PORTLAND RD NE
City: Salem
State: Oregon
ZIP Code: 97301-0198
Phone: (503) 390-5637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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