Organization
VALERIE COON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA ANN COLLADA (OFFICE MANAGER)
(503) 581-5517
Entity
Organization
Contact information
Practice address
1344 LIBERTY ST SE, SALEM, OR 97302-4283
(503) 581-5517
(503) 581-6341
Mailing address
1344 LIBERTY ST SE, SALEM, OR 97302-4283
(503) 581-5517
(503) 581-6341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD157733
OR
Other
Enumeration date
07/02/2012
Last updated
06/10/2013
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