Organization
PELVIC WELLNESS CENTER OF SALEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON FORRESTALL PT (OWNER)
(503) 551-1099
Entity
Organization
Contact information
Practice address
1655 CAPITOL ST NE, SALEM, OR 97301-7845
(503) 551-1099
(503) 364-1376
Mailing address
1655 CAPITOL ST NE, SALEM, OR 97301-7845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
06/11/2019
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