Individual
CHRISTOPHER ROMAN OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
665 WINTER ST SE, DEPERTMENT OF EMERGENCY MEDICINE, SALEM, OR 97301-3919
(801) 440-9838
Mailing address
665 WINTER ST SE, DEPERTMENT OF EMERGENCY MEDICINE, SALEM, OR 97301-3919
(801) 440-9838
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
6353353-1205
UT
207P00000X
Emergency Medicine Physician
Primary
MD28356
OR
Other
Enumeration date
02/19/2008
Last updated
07/30/2008
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