NPI 1053761544

Grey Forest Wellness LLC

Organisation Nutrition Chiropractor Salem, OR

Practice location

Address: 795 Piedmont Ave NW, Salem, OR 97304-4308
Phone: (727) 265-0804

Authorised official

Name: Andrea Lynn Otken
Title: President
Phone: (727) 265-0804

Registered specialties

Nutrition Chiropractor Primary

Chiropractic Providers Taxonomy 111NN1001X Licence 5644 (OR)

Other Chiropractor providers in Oregon →

Registry record

NPI: 1053761544
Entity type: Organization
NPI issued: 15 Jun 2016
Record last updated: 15 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.