Xan Decambra

NPI 1891066346 · on the registry since 2012 · sole proprietor

Practice

Address: 965 Liberty St Se
Salem, OR 97302
Phone: (503) 588-2004
Fax: (503) 588-2415
Organisation at this address: Polk Yamhill & Marion Child Treatment Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-10

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