Individual
EDDIE G MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 CHURCH ST SE, SALEM, OR 97301-3796
(503) 373-3819
Mailing address
360 CHURCH ST SE, SALEM, OR 97301-3796
(503) 373-3819
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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