Individual provider · Type 1 NPI
Wayne Fagin, LMT
Specialist · Salem, OR
NPI number
1649353541
Active
Practice location
460 13th St NE
Salem, OR 97301-2650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 6031 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1649353541
Wayne Fagin, LMT's National Provider Identifier is 1649353541, issued on Oct 23, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.