Individual
ADAM STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4668 SUNNYSIDE RD SE, SALEM, OR 97302-3547
(541) 971-0317
Mailing address
4668 SUNNYSIDE RD SE, SALEM, OR 97302-3547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
303801
OR
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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