Individual
DR. MARITZA BLANCA ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 HICKORY ST NW, ALBANY, OR 97321
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3758
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116027761
VA
207Q00000X
Family Medicine Physician
Primary
MD187370
OR
Other
Enumeration date
05/28/2015
Last updated
09/05/2018
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