Individual provider · Type 1 NPI

Brian Paul Royal Vanwyngarden, LMT

Contractor · Salem, OR

NPI number 1124571823 Active

Practice location

2416 13th St SE
Salem, OR 97302-2546

Mailing address

435 21st St SE
Salem, OR 97301-8848

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X21790 (OR)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1124571823

Brian Paul Royal Vanwyngarden, LMT's National Provider Identifier is 1124571823, issued on Jul 28, 2016. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Salem, OR. The record was last updated on Jul 28, 2016.