LAWRENCE MICHAEL DIMACALI

SALEM, OR
NPI1306394317
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA190503)
Enumeration Date2016-09-19
Last Update Date2019-06-10
Business Address
LAWRENCE MICHAEL DIMACALI PA-C
1600 STATE ST
SALEM, OR 97301-4257
Phone number: 503-540-6300
Mailing Address
LAWRENCE MICHAEL DIMACALI PA-C
1600 STATE ST
SALEM, OR 97301-4257
Phone number: 503-540-6300
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