Nicole Beaver

NPI #1942554290 in Silverton, Oregon

Provider Information

NPI Number: 1942554290
Entity Type: Individual
Name: Nicole Beaver
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Enumeration Date: Nov 7, 2012
Last Updated: Nov 7, 2012

Practice Location

Address: 210 OAK ST STE 2
City: Silverton
State: Oregon
ZIP Code: 97381-1671
Phone: (503) 874-4484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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