IndividualActive
Blake Testa, D.C.
NPI 1295162006 · Sports Physician Chiropractor · Salem, OR
Provider details
- NPI number
- 1295162006
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 5509 (OR)
Specialties & taxonomies
Chiropractic Providers
Practice location
2663 12th St Se
Salem, OR 97302-2154
Phone: (503) 371-1120
Approximate (ZIP-level) locationGet directions
Mailing address
2663 12th St Se
Salem, OR 97302-2154
Registry dates
- Enumerated
- 2013-10-11
- Last updated
- 2013-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.