MICHAEL BENJAMIN SUMNER

SALEM, OR
NPI1598970550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  10763)
Enumeration Date2007-05-13
Last Update Date2007-07-08
Business Address
MR. MICHAEL BENJAMIN SUMNER LMT
390 SALEM HEIGHTS AVE S
SALEM, OR 97302-5609
Phone number: 503-371-1901
Mailing Address
MR. MICHAEL BENJAMIN SUMNER LMT
390 SALEM HEIGHTS AVE S
SALEM, OR 97302-5609
Phone number: 503-371-1901