Individual provider · Type 1 NPI

Grace Ellen Gedlaman

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

NPI number 1962390567 Active

Practice location

4400 Salem Dallas Hwy NW
Salem, OR 97304-3338

Call (503) 991-5091 Map

Mailing address

671 Church St W Apt 20
Monmouth, OR 97361-1362

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 1962390567

Grace Ellen Gedlaman's National Provider Identifier is 1962390567, issued on Jun 24, 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 Jun 24, 2025.