Individual
KEVIN CARL MANABE CORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 JASON ST NE, SALEM, OR 97301-2357
(971) 301-6225
(971) 301-6230
Mailing address
631 JASON ST NE, SALEM, OR 97301-2357
(971) 301-6225
(971) 301-6230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63812
OR
Other
Enumeration date
08/10/2020
Last updated
04/13/2023
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