Individual
VIMAL MOHUN AGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301
(503) 945-7102
(503) 945-2879
Mailing address
PO BOX 14900, SALEM, OR 97309-5016
(503) 945-9840
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MD24306
OR
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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