Individual
MRS. LISA R BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
752 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 409-0760
(503) 990-6644
Mailing address
752 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 409-0760
(503) 990-6644
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7809
OR
Other
Enumeration date
02/18/2012
Last updated
12/03/2013
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