SearchOregon175L00000X

Autumn Waters, LMT

NPI 1407138746 · on the registry since 2011 · sole proprietor

Practice

Address
417 Lancaster Dr Ne
Salem, OR 97301
Phone
(503) 371-4968

Registry record

Primary taxonomy
175L00000X
175L00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon