Willamette Valley Oral & Maxillofacial Surgery, INC

NPI #1619242591 in Salem, Oregon

Provider Information

NPI Number: 1619242591
Entity Type: Organization
Organization Name: Willamette Valley Oral & Maxillofacial Surgery, INC
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Mar 12, 2012
Last Updated: Mar 12, 2012

Practice Location

Address: 3996 CORREDALE CT. S.
City: Salem
State: Oregon
ZIP Code: 97302
Phone: (503) 581-1999

Authorized Official

Name: HOLLY JAYNE EYRE
Title: OFFICE MANAGER
Phone: (503) 581-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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