NPI 1043763980

Michael Tre Cline, LMT

Practitioner Specialist Salem, OR

Practice location

Address: 1505 Whitaker Dr SE #201, Salem, OR 97317-5912
Phone: (503) 269-2108

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 21385 (OR)

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Registry record

NPI: 1043763980
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2016
Record last updated: 27 Jul 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.