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Michael De La Mater, PSS

NPI 1972288298 · on the registry since 2023

Practice

Address
850 Se 4th St
Madras, OR 97741
Phone
(541) 475-6575

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon