Individual
MR. CHRISTIAAN JOHANNES VAN VLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-5996
(503) 588-6576
Mailing address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-5996
(503) 588-6576
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00002107
WA
Other
Enumeration date
08/31/2006
Last updated
07/16/2007
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