Individual
MADISON KERZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2925 RYAN DR SE, SALEM, OR 97301-9687
(503) 399-1262
Mailing address
4016 CLOUDVIEW DR S, SALEM, OR 97302-2776
(503) 881-9812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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