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Organization

VICKI L SELLER,M.D.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI LYNN SELLER M.D. (PRESIDENT)
(503) 315-5710
Entity
Organization

Contact information

Practice address
633 JASON ST NE, SALEM, OR 97301-2750
(503) 315-5710
(503) 315-5719
Mailing address
633 JASON ST NE, SALEM, OR 97301-2750
(503) 315-5710
(503) 315-5719

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD14532
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136614
OR
Enumeration date
11/29/2007
Last updated
11/29/2007
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