Individual
LISA-MIREI KANANI ECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2515 LIBERTY ST NE, SALEM, OR 97301-8386
(503) 390-1552
Mailing address
2515 LIBERTY ST NE, SALEM, OR 97301-8386
(503) 390-1552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5965
OR
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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