Individual
MARILYN HALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2531 BOONE RD SE, SALEM, OR 97306-9675
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43057
AZ
207Q00000X
Family Medicine Physician
Primary
MD190889
OR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
43057
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500758064
—
OR
05
—
534150
—
AZ
Enumeration date
06/24/2008
Last updated
03/20/2019
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