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Individual

DR. JOHN MESSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
665 WINTER ST SE, SALEM, OR 97301-3919
(503) 561-5634
Mailing address
PO BOX 2505, SALEM, OR 97308-2505
(888) 828-3198

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10719
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115923
MARION POLK CHP
05
115923
OR
05
8302135
WA
01
A005
CHAMPUS
01
C91107
PROVIDENCE
01
M400706
PACIFIC SOURCE
05
XPY049890
CA
Enumeration date
08/16/2006
Last updated
12/19/2007
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