Individual
MR. LASLO EMORY KOLTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 WALLACE RD NW, SALEM, OR 97304-3007
(503) 362-1314
(503) 362-5895
Mailing address
1255 WALLACE RD NW, SALEM, OR 97304-3007
(503) 362-1314
(503) 362-5895
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13749
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021159
—
OR
Enumeration date
10/13/2005
Last updated
10/17/2007
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