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Individual

DR. JAMES ROBERT LAIDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1011 COMMERCIAL ST NE STE 110, SALEM, OR 97301-1036
(503) 983-9900
Mailing address
1011 COMMERCIAL ST NE STE 110, SALEM, OR 97301-1036
(503) 983-9900

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
20435
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149962
OR
Enumeration date
11/08/2012
Last updated
05/16/2022
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