Individual
MRS. MARTINA GEORGETTE VAWSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
5434 RIVER RD N # 200, KEIZER, OR 97303-4429
(503) 428-8658
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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