Most Relevant Information
Provider Data
| NPI Number: | 1003685363 |
| Provider Name: | CLARA EDMONDS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2023 |
| Last Updated: | 12/28/2023 |
Provider Practice Location
4890 32ND AVE SE
SALEM
OR
973179350
Practice Location Phone/Fax
| Phone: | 5035885647 |
| Fax: |
Provider Mailing Location
4890 32ND AVE SE
SALEM
OR
973179350
Provider Mailing Phone/Fax
| Phone: | 5035885647 |
| Fax: |