Individual
DONAVAN J SALSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
21440 SE STARK ST, GRESHAM, OR 97030-2024
(971) 703-4623
Mailing address
11010 SE DIVISION ST STE 11104SE, PORTLAND, OR 97266-6400
(971) 703-4623
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
3715820
OR
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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