Individual
DR. EVELIN DACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1105 LIBERTY ST SE, SALEM, OR 97302-4142
(971) 225-3331
(541) 248-1020
Mailing address
10360 LAKE DR SE, SALEM, OR 97306-9452
(503) 510-9027
(541) 248-1020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20032
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082073
OMAP
OR
01
—
132646
MEDICARE- DR DACKER INDIV
—
01
—
MD20032
STATE MEDICAL LICENSE
OR
Enumeration date
12/27/2005
Last updated
02/25/2025
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