Individual
DR. KEVIN ROY CHRISTIANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4342 LIBERTY RD S, SALEM, OR 97302-6171
(503) 363-6500
(503) 363-6292
Mailing address
4342 LIBERTY RD S, SALEM, OR 97302-6171
(503) 363-6500
(503) 363-6292
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D5856
OR
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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