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Contact Information

GREY FOREST WELLNESS LLC
795 PIEDMONT AVE NW
SALEM, OR97304-4308
 Phone: 727-265-0804
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GREY FOREST WELLNESS LLC · (Female)

NPI # 1053761544
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2016
Last updated 06/15/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 5644
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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