Individual
MR. JAMES BRIAN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
134 SE 3RD STREET, CANYONVILLE, OR 97417
(541) 839-4421
(541) 839-6080
Mailing address
PO BOX 375, CANYONVILLE, OR 97417
(541) 839-4421
(541) 839-6080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OR 2790
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841333135
CMS
OR
Enumeration date
04/03/2007
Last updated
07/08/2007
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