Individual
DR. SAM SARKIS MOURSALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3455 LANCASTER DR NE, SALEM, OR 97305-1357
(503) 779-4243
Mailing address
3455 LANCASTER DR NE, SALEM, OR 97305-1357
(503) 779-4243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
71 3607
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005708
—
OR
01
—
865556000
REGENCE BLUE CROSS
OR
Enumeration date
07/19/2006
Last updated
12/19/2012
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