Individual
SARAH MARIE VANSELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1173 S 9TH ST, INDEPENDENCE, OR 97351-1661
(541) 908-2364
Mailing address
1173 S 9TH ST, INDEPENDENCE, OR 97351-1661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6174
OR
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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