Individual
CHARLES ANTHONY SALTALAMACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 9TH ST, FLORENCE, OR 97439-9470
(541) 902-1634
(541) 902-9702
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD173335
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500689077
—
OR
Enumeration date
05/03/2011
Last updated
10/20/2020
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