NPI 1184968760

Alisha Sue Clark

Practitioner Mechanotherapist Salem, OR

Practice location

Address: 4385 Satter Pl NE, Salem, OR 97305-4107
Phone: (503) 812-1280

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 19278 (OR)

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Registry record

NPI: 1184968760
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2012
Record last updated: 21 Nov 2012

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.