Individual
NICHOLAS JAMES SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 371-8860
(503) 371-9299
Mailing address
PO BOX 12686, SALEM, OR 97309-0686
(503) 540-8701
(503) 371-8772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5653
OR
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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