| NPI Details | |
|---|---|
| NPI | 1336300011 |
| Gender | Male |
| Enumeration Date | 06/24/2008 |
| Last Updated | 06/24/2008 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 685 36TH AVE NE SALEM OR, 97301-4741, US |
|
| Phone | (503) 371-8860 |
| Fax | (503) 371-9299 |
| Business Location | |
|---|---|
| PO BOX 12686 SALEM OR, 97309-0686, US |
|
| Phone | (503) 540-8701 |
| Fax | (503) 371-8772 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | Oregon |
| License Number | 5653 |
| Remove 1336300011 NPI Number | |
According to our database, Nicholas James Siewert DPT NPI is 1336300011, taxonomy code is 225100000X and license number is 5653, license state is located at Oregon. Nicholas James Siewert DPT physically located at 685 36th Ave Ne, Salem OR, 97301-4741. NPI Number Nicholas James Siewert DPT has the Individual type.
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1336300011 NPI number is provided on an as is basis without warranty of any kind. 1336300011 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas James Siewert DPT are for informational purposes only.
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