NPI 1407138746

Autumn Lyn Waters, LMT

Practitioner Homeopath Salem, OR

Practice location

Address: 417 Lancaster Dr NE, Salem, OR 97301-4729
Phone: (503) 371-4968

Registered specialties

Homeopath Primary

Other Service Providers Taxonomy 175L00000X Licence LMT 17282 (OR)

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Registry record

NPI: 1407138746
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2011
Record last updated: 13 Sep 2011

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.