Individual
MICHAEL LANE NORED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
111 W C ST, SILVERTON, OR 97381-1458
(503) 873-6111
(503) 873-6113
Mailing address
495 STATE ST FL 6, SALEM, OR 97301-3757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0591
OR
Other
Enumeration date
06/17/2006
Last updated
01/11/2012
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