Individual
DANIEL VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22000 WILLAMETTE DR STE 107, WEST LINN, OR 97068-3210
(503) 386-5326
Mailing address
19464 WESTLING DR, OREGON CITY, OR 97045-6913
(971) 359-4538
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28219
OR
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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