Individual
DEREK R STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
233 MADRONA AVE SE, SALEM, OR 97302-4609
(503) 566-7782
Mailing address
706 BROWNING AVE S, APT 7, SALEM, OR 97302-6177
(503) 290-4081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06929
OR
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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