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Individual

VICKI LYNN SELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
633 JASON ST NE, SALEM, OR 97301
(503) 315-5710
(503) 315-5719
Mailing address
633 JASON ST NE, SALEM, OR 97301
(503) 315-5710
(503) 315-5719

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD14532
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136614
OR
Enumeration date
09/25/2006
Last updated
03/07/2008
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