Nicholas James Siewert DPT

NPI 1336300011 - Physical Therapist - 225100000X

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
Taxonomy Code 225100000X
License State Oregon
License Number 5653
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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.