Individual
MAKKALEARN EM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 OAK ST SE, STE 3010, SALEM, OR 97301
(503) 399-7520
(503) 362-7344
Mailing address
875 OAK ST SE, STE 3010, SALEM, OR 97301
(503) 399-7520
(503) 362-7344
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD25645
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213292
—
OR
Enumeration date
01/03/2006
Last updated
07/08/2007
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