Individual
MR. LEVI GEORGE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
925 COMMERCIAL ST SE #260, SALEM, OR 97302
(503) 391-9222
Mailing address
925 COMMERCIAL ST SE #260, SALEM, OR 97302
(503) 391-9222
(503) 363-8193
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19398
OR
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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