Anita Marie Northcott
Adult Companion in Salem, OR. Individual provider (NPI-1).
NPI number1184809683
StatusActive
Last updated in NPPESJan 2, 2008
Details
- NPI
- 1184809683
- Entity type
- Individual (NPI-1)
- Name
- Anita Marie Northcott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2008
- Last updated
- Jan 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Other names
- Anita Ewing (Former Name)
Practice location
3321 Harold Dr NeSalem, OR 97305-1339
Phone 503-399-5597
Mailing address
1195 Clearview Ave Ne Apt 9Keizer, OR 97303-4684
Phone 503-463-4244
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