Individual
MAURICE COLLADA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 399-1386
(503) 399-1182
Mailing address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 399-1386
(503) 399-1182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD13614
OR
207T00000X
Neurological Surgery Physician
Primary
MD13614
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200709
—
OR
Enumeration date
08/11/2005
Last updated
02/17/2026
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