Individual
MR. DAVID R. MASLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10024 SE 32ND AVE, MILWAUKIE, OR 97222-6514
(503) 659-4988
(503) 654-5666
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4777
(503) 652-5223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19175
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077599
—
OR
01
—
110175147
RR MEDICARE
OR
Enumeration date
11/29/2005
Last updated
09/05/2024
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