Organization
WILLAMETTE UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARK MHOON M.D. (PRESIDENT)
(503) 561-7100
Entity
Organization
Contact information
Practice address
2973 12TH STREET SE, SALEM, OR 97302-6162
(503) 561-7100
(503) 561-7124
Mailing address
2973 12TH STREET SE, SALEM, OR 97302-6162
(503) 561-7100
(503) 561-7124
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
OR
Other
Enumeration date
12/12/2006
Last updated
02/28/2013
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