Individual
MONICA MICHELOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 12TH ST SE, SALEM, OR 97302
(503) 371-4350
(503) 371-1124
Mailing address
2450 12TH ST SE, SALEM, OR 97302-2152
(503) 371-4350
(503) 371-1124
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD171473
OR
Other
Enumeration date
04/04/2011
Last updated
03/30/2021
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