BRIAN VANWYNGARDEN, LMT
Contractor
Active
Individual
NPI: 1124571823
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | 21790 (OR) |
Frequently Asked Questions
NPI 1124571823 is the National Provider Identifier for BRIAN VANWYNGARDEN, LMT, a Contractor provider located in Salem, OR. This NPI was enumerated on July 28, 2016.
BRIAN VANWYNGARDEN, LMT practices at 2416 13TH ST SE, Salem, OR 97302.
Quick Facts
- NPI
- 1124571823
- Type
- Individual
- Enumerated
- Jul 28, 2016
- Last Updated
- Jul 28, 2016
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