Maurice Collada Jr. Md Pc

LBN: Maurice Collada Jr. Md Pc
Maurice Collada Jr. Md Pc is an health care organization with primary practice located at 1344 Liberty St Se , Salem OR 97302-4283. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Maurice Collada Jr. Md Pc can be contacted via phone (503) 581-5517, or through Spaeth, Khristy via phone (503) 581-5517.

Contact Information

Primary practice address
1344 Liberty St Se Salem OR 97302-4283
Phone: (503) 581-5517
Fax: (503) 581-6341
Website:
Map and Directions
Authorized official contact:
Name: Spaeth, Khristy
Phone: (503) 581-5517

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD13614 Oregon

Profile Details

NPI number 1285813071
LBN Legal business name Maurice Collada Jr. Md Pc
DBA Doing business as
Authorized official Spaeth, Khristy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Jul 27th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285813071 NPPES
Other 103728 MEDICARE

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