Individual
ANGELA LYNN MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 585-4278
Mailing address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 585-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450099NP FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
286761
DMAP
OR
Enumeration date
12/22/2006
Last updated
08/30/2024
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