NPI 1619242591

Willamette Valley Oral & Maxillofacial Surgery, INC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Salem, OR

Practice location

Address: 3996 Corredale CT. S., Salem, OR 97302
Phone: (503) 581-1999
Fax: (503) 581-1107
Mailing address: 3996 Corredale CT S, Salem, OR 97302-9326

Authorised official

Name: Holly Jayne Eyre
Title: Office Manager
Phone: (503) 581-1999

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Oregon →

Registry record

NPI: 1619242591
Entity type: Organization
NPI issued: 12 Mar 2012
Record last updated: 12 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.