Individual
JOE CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1599 STATE ST, SALEM, OR 97301-4255
(503) 363-3260
(503) 363-3260
Mailing address
1599 STATE ST, SALEM, OR 97301-4255
(503) 363-3260
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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