Individual
SEQUOIA LAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2521 BOONE RD SE # 100, SALEM, OR 97306-9391
(503) 585-5131
Mailing address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 585-5131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64356
OR
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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