Sandra Raven

NPI #1053513929 in Ontario, Oregon

Provider Information

NPI Number
1053513929
Entity Type
Individual
Name
Sandra Raven
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Jun 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
702 SUNSET DR
State
Oregon
ZIP Code
97914-3121
Phone
(541) 889-9167

Specialties & Taxonomy Codes

Specialty
Counselor

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