Organization
KIRK S. JEPSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK STEVEN JEPSEN LMT (MASSAGE THERAPIST)
(971) 388-6366
Entity
Organization
Contact information
Practice address
3187 MARCIA DR NE, SALEM, OR 97301-8647
(971) 388-6366
Mailing address
3187 MARCIA DR NE, SALEM, OR 97301-8647
(971) 388-6366
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
15571
OR
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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