IndividualActive
Maya Modzelewska, M.D.
NPI 1790074490 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Salem, OR
Provider details
- NPI number
- 1790074490
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD181084 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1100 22nd St Se
Salem, OR 97302-6558
Phone: (585) 275-3274
Fax: (585) 442-2949
Approximate (ZIP-level) locationGet directions
Mailing address
1100 22nd St Se
Salem, OR 97302-6558
Additional practice locations (1)
- 970 N Kalaheo Ave Ste A109Kailua, HI 96734-1868Phone: (808) 501-2235
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.