Individual
DR. MOTI LAL VISHWAKARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2531 BOONE RD SE, SALEM, OR 97306-9675
(503) 399-2424
(503) 585-2961
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 589-6241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD189840
OR
Other
Enumeration date
10/22/2007
Last updated
09/19/2018
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