Individual
MR. DONNIE RAY TOQUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3321 HAROLD DR NE, SALEM, OR 97305-1339
(503) 399-5597
(503) 316-9740
Mailing address
1225 SUSAN CT NE, KEIZER, OR 97303
(971) 240-1918
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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