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Individual

RITU MANOCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1010 13TH ST SE, SALEM, OR 97302-2507
(503) 561-8700
(503) 561-6878
Mailing address
1010 13TH ST SE, SALEM, OR 97302-2507
(503) 561-8700
(503) 561-6878

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26288
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273822
OR
Enumeration date
07/12/2006
Last updated
07/08/2007
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