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WILLAMETTE VALLEY WELLNESS LLC NPI 1194069450


NPI Information

NPI: 1194069450
Provider Name: WILLAMETTE VALLEY WELLNESS LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4356 COMMERCIAL STREET SE
SALEM, OR
ZIP 97302
Phone: (503) 689-1216
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WILLAMETTE VALLEY WELLNESS LLC is a chiropractor in Salem, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WILLAMETTE VALLEY WELLNESS LLC NPI is 1194069450. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4356 COMMERCIAL STREET SE
SALEM, OR
ZIP 97302
Phone: (503) 689-1216
Fax: (503) 689-1520

The provider's authorized official is Joshua R Wolfram .
The authorized official title is Owner and has the following contact phone number (503) 689-1216.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 11/26/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist13553OREGONNo
2225700000XMassage Therapist17108OREGONNo
3225700000XMassage Therapist14327OREGONNo
4111N00000XChiropractor3989OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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