-- VIMAL MOHUN AGA --
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1902900137- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2600 CENTER ST NE, SALEM, OR, 97301
- Phone
- (503) 945-7102
- Fax
- (503) 945-2879
Specialties & Taxonomies
Unknown
Primary License: OR #MD24306