Individual provider · Type 1 NPI

Mandy Julianna Rose Storm

Student in an Organized Health Care Education/Training Program · Salem, OR

NPI number 1043017205 Active

Practice location

435 Lancaster Dr NE
Salem, OR 97301-4729

Call (503) 585-6388 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043017205

Mandy Julianna Rose Storm's National Provider Identifier is 1043017205, issued on Feb 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salem, OR. The record was last updated on Feb 26, 2025.