Provider Demographics
NPI:1497180988
Name:GARCIA, EFRAIN JR
Entity type:Individual
Prefix:
First Name:EFRAIN
Middle Name:
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 15TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-4204
Mailing Address - Country:US
Mailing Address - Phone:503-363-7261
Mailing Address - Fax:503-363-1889
Practice Address - Street 1:220 15TH ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4204
Practice Address - Country:US
Practice Address - Phone:503-363-7261
Practice Address - Fax:503-363-1889
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker