Individual
DAVID KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3857 WOLVERINE ST NE, #16-C, SALEM, OR 97305-4270
(503) 588-1039
Mailing address
3857 WOLVERINE ST NE, #16-C, SALEM, OR 97305-4270
(503) 588-1039
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10142648
OR
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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