Individual
DR. MARYDALE G SALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LMFT
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5947
(541) 757-1944
Mailing address
335 CHICAGO ST SE, ALBANY, OR 97321-4852
(541) 791-4876
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0518
OR
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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