# KIRK S. JEPSEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336684877
- **Authorized official:** KIRK STEVEN JEPSEN LMT (MASSAGE THERAPIST)
- **Authorized official phone:** (971) 388-6366

## Contact information

- **Practice address:** 3187 MARCIA DR NE, SALEM, OR 97301-8647
- **Practice address phone:** (971) 388-6366
- **Mailing address:** 3187 MARCIA DR NE, SALEM, OR 97301-8647
- **Mailing address phone:** (971) 388-6366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | 15571 | OR | Yes |

## Other

- **Enumeration date:** 12/19/2016
- **Last updated:** 12/19/2016