Organization
WILLAMETTE VALLEY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA R WOLFRAM DC (OWNER)
(503) 689-1216
Entity
Organization
Contact information
Practice address
4356 COMMERCIAL STREET SE, SALEM, OR 97302
(503) 689-1216
(503) 689-1520
Mailing address
4356 COMMERCIAL STREET SE, SALEM, OR 97302
(503) 689-1216
(503) 689-1520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3989
OR
225700000X
Massage Therapist
13553
OR
225700000X
Massage Therapist
14327
OR
225700000X
Massage Therapist
17108
OR
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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