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Contact Information

MAYA MODZELEWSKA, MD
1100 22ND ST SE
SALEM, OR97302-6558
 Phone: 585-275-3274
 Fax: 585-442-2949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MAYA MODZELEWSKA · (Female)

NPI Number 1790074490
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2011
Last updated 05/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD181084
Hospital affiliation(s)
  • SALEM HOSPITAL - (Acute Care)
    890 OAK STREET, SE
    SALEM, OR 97301
  • SANTIAM MEMORIAL HOSPITAL - (Acute Care)
    1401 N 10TH AVENUE
    STAYTON, OR 97383
  • WEST VALLEY HOSPITAL - (Critical Access)
    525 SE WASHINGTON STREET
    DALLAS, OR 97338
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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