Individual
JASON SANDYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2416 13TH ST SE, SALEM, OR 97302-2546
(503) 798-2918
Mailing address
2416 13TH ST SE, SALEM, OR 97302-2546
(503) 798-2918
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 159922
OR
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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