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Individual

DR. ALLAN NOEL SWANBOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
780 COMMERCIAL ST SE, SUITE 100, SALEM, OR 97301-3462
(503) 588-5767
(503) 472-1722
Mailing address
780 COMMERCIAL ST SE, SUITE 100, SALEM, OR 97301-3462
(503) 588-5767
(503) 472-1722

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
810126
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
810126
TSPC
OR
Enumeration date
11/28/2011
Last updated
11/28/2011
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