Individual
MR. AUDEY B ROBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
991 LIBERTY ST SE, SALEM, OR 97302-4138
(503) 881-5812
Mailing address
6110 TRAIL AVE NE, KEIZER, OR 97303-3568
(503) 881-5812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11596
OR
Other
Enumeration date
08/07/2007
Last updated
08/08/2007
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