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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN PAUL ROYAL VANWYNGARDEN, LMT

Active Sole Proprietor

BRIAN PAUL ROYAL VANWYNGARDEN, LMT is a Contractor healthcare provider located in SALEM, Oregon. NPI 1124571823 is currently active in the NPPES registry. Verify at CMS.

Contractor · SALEM, OR

Registration Details

NPI Number
1124571823
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2016 (10.034868623646 yrs)
Last Updated
Jul 28, 2016
License
21790 (OR)
Sole Proprietor
Yes

Practice Information

Address
2416 13TH ST SE
SALEM, OR, 973022546
Browse OR providers · Browse ZIP 97302
Phone
5037982918
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in SALEM, OR

Name Credential NPI
MICHAEL CHARLES WHITE M.D. 1073732681
MRS. MAGDALENA MARIA CYNKUTIS-SIMON MD 1831354521
MS. ELLEN M MONTAGUE LMT 1235446683
KIMBERLY ADELL GECK LMT 1235495938
MRS. ERICA LOUISE DUNSMORE LMT 1568887040
CANDICE EVALYN STOOPS LMT 1184021222
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.