Individual
CORA NADINE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
651 HIGH ST NE, SUITE #9, SALEM, OR 97301-2422
(503) 999-4463
Mailing address
401 MADRONA AVE SE, #6, SALEM, OR 97302-4654
(503) 999-4463
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
19871
OR
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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