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Organization
SAM S MOURSALIAN DC PC
Active
Organization
SAM S MOURSALIAN DC PC
Active
Other names
Pure Health Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM SARKIS MOURSALIAN DC (OWNER/PRESIDENT)
(503) 779-4243
Entity
Organization
Contact information
Practice address
3455 LANCASTER DR NE, SALEM, OR 97305-1357
(503) 779-4243
(503) 586-0263
Mailing address
3455 LANCASTER DR NE, SALEM, OR 97305-1357
(503) 779-4243
(503) 586-0263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3607
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005708
—
OR
01
—
1407875594
TYPE I NPI
OR
01
—
V08345
UPIN
OR
Enumeration date
05/02/2008
Last updated
12/19/2012
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