Organization
WILLAMETTE VALLEY ORAL & MAXILLOFACIAL SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY JAYNE EYRE (OFFICE MANAGER)
(503) 581-1999
Entity
Organization
Contact information
Practice address
3996 CORREDALE CT. S., SALEM, OR 97302
(503) 581-1999
(503) 581-1107
Mailing address
3996 CORREDALE CT S, SALEM, OR 97302-9326
(503) 581-1999
(503) 581-1107
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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