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NPI 1124571823

IndividualActive

Brian Vanwyngarden, LMT

NPI 1124571823 · Contractor · Salem, OR

Provider details

NPI number: 1124571823
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: LMT
Sex: Male
Sole proprietor: Yes
License: 21790 (OR)

Practice location

2416 13th St Se

Salem, OR 97302-2546

Phone: (503) 798-2918

More OR providers

Mailing address

435 21st St Se

Salem, OR 97301-8848

Registry dates

Enumerated: 2016-07-28
Last updated: 2016-07-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brian Vanwyngarden, LMT — NPI 1124571823, Salem, OR | NPI Central