| Doctor Name: | DR. CORY B MAUGHAN |
| NPI Number: | 1598086720 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | PG151474 |
| Business Practice Address: | 1793 13th St Se Salem, OR - 973022541 |
| Business Phone Number: | 5033628385 |
| Business Fax Number: | 5033628435 |
| Mailing Address: | 1793 13th St Se, SALEM |
| State: | OR |
| Postal Code: | 973022541 |
| Phone Number: | 5033628385 |
| Fax Number: | 5033628435 |
| NPI Enumeration Date: | 06/22/2010 |
| NPI Last Update Date: | 07/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | PG151474 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |