Individual
MR. MICHAEL JON CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1045 ROYALTY DR NE, SALEM, OR 97301-3150
(503) 409-1204
(503) 371-4465
Mailing address
1045 ROYALTY DR NE, SALEM, OR 97301-3150
(503) 409-1204
(503) 371-4465
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7586
OR
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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