Individual
GARY W VIEHDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3957 SHANIKO CT SE, SALEM, OR 97302-1717
(503) 480-9674
Mailing address
PO BOX 4374, SALEM, OR 97302-8374
(503) 480-9674
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
11376
HI
225700000X
Massage Therapist
Primary
14894
OR
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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