Individual
AMY FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1295 WALLACE RD NW, SALEM, OR 97304-3007
(503) 361-3949
(503) 763-6444
Mailing address
1295 WALLACE RD NW, SALEM, OR 97304-3007
(503) 361-3949
(503) 763-6444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6307
OR
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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