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Individual

DR. EDWIN NEAL AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
875 OAK ST SE, SUITE 4060, SALEM, OR 97301-3975
(503) 391-7001
(503) 391-6858
Mailing address
875 OAK ST SE, SUITE 4060, SALEM, OR 97301-3975
(503) 561-7000
(503) 375-2646

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
19875
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137849
OR
Enumeration date
06/30/2005
Last updated
04/17/2019
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