Individual
ARTURO SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 CENTER AVE, MOLALLA, OR 97038-8134
(503) 829-2273
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11013683A
IN
207Q00000X
Family Medicine Physician
Primary
MD155328
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290609
WA L&I
OR
05
—
500637380
—
OR
01
—
P01030633
RR MEDICARE
OR
Enumeration date
07/07/2008
Last updated
10/14/2020
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