# SAM S MOURSALIAN DC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pure Health Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518133214
- **Authorized official:** DR. SAM SARKIS MOURSALIAN DC (OWNER/PRESIDENT)
- **Authorized official phone:** (503) 779-4243

## Contact information

- **Practice address:** 3455 LANCASTER DR NE, SALEM, OR 97305-1357
- **Practice address phone:** (503) 779-4243
- **Practice address fax:** (503) 586-0263
- **Mailing address:** 3455 LANCASTER DR NE, SALEM, OR 97305-1357
- **Mailing address phone:** (503) 779-4243
- **Mailing address fax:** (503) 586-0263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3607 | OR | Yes |

## Other

- **Enumeration date:** 05/02/2008
- **Last updated:** 12/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005708 | — | OR |
| 01 | — | 1407875594 | TYPE I NPI | OR |
| 01 | — | V08345 | UPIN | OR |