Individual
NIEME FAUSTINO ALISASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
820 COTTAGE ST NE, SALEM, OR 97301-2426
(503) 399-9113
(503) 399-7273
Mailing address
10000 W 75TH ST, STE 121, SHAWNEE MISSION, KS 66204-2241
(503) 399-9113
(503) 399-7273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5551
OR
Other
Enumeration date
06/10/2008
Last updated
08/13/2017
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