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Contact Information

MARK CEDARLEAF, LMT
705 12TH ST SE
SALEM, OR97301-4004
 Phone: 503-375-2989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for MARK CEDARLEAF · (Male)

NPI # 1659682870
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 06/23/2010
Last updated 06/23/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 7983
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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