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Organization

COREY GEFFKEN LMP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COREYT GEFFKEN LMP (OWNER)
(206) 321-6033
Entity
Organization

Contact information

Practice address
421 N WATER ST, SUITE 102, SILVERTON, OR 97381-1645
(206) 321-6033
(503) 874-4478
Mailing address
345 WESTFIELD ST, SUITE 102, SILVERTON, OR 97381-1936
(206) 321-6033
(503) 874-4478

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA00010746
WA
225700000X
Massage Therapist
Primary
18694
OR

Other

Enumeration date
11/12/2015
Last updated
11/12/2015
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