Individual
JEFFREY K WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2515 LIBERTY ST NE, SALEM, OR 97301-8386
(503) 390-1552
Mailing address
2515 LIBERTY ST NE, SALEM, OR 97301-8386
(503) 390-1552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5105
OR
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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