Individual
CHRIS DANIEL BOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
223 MADRONA AVE SE, SALEM, OR 97302-4609
(503) 877-3529
Mailing address
223 MADRONA AVE SE, SALEM, OR 97302-4609
(503) 877-3529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23321
OR
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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