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NPI Code Detail

MEDICARE: DR. STEPHEN JOHN ALBIN ND

MEDICARE: DR. STEPHEN JOHN ALBIN ND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath411OR

General Provider Information

NPI Number : 1407064793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN JOHN ALBIN ND
Provider Business Mailing Address
First Line : PO BOX 4568
Second Line :
City : SALEM
State : OR
Zip : 97302-8568
Country : US
Telephone Number : 503-399-1255
Fax Number : 503-399-3606
Provider Business Practice Location Address
First Line : 1698 LIBERTY ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-4348
Country : US
Telephone Number : 503-399-1255
Fax Number : 503-399-3606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

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