SALEM CLINIC, PC; NPI #1912175035

Contact Information

SALEM CLINIC, PC

2531 BOONE ROAD SE
SALEM, OR 97306

Phone: 503-399-2424
Fax: 503-375-7429
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for SALEM CLINIC, PC

NPI # 1912175035

LBN Legal business name SALEM CLINIC, PC

Authorized official BARBARA GUNDER - (ADMINISTRATIO/CAO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/11/2008

Last updated 12/06/2016 - About 9 years ago

Identifiers

OR	Medicaid	500400274
OR	Other	CS4159	RAILROAD MEDICARE GROUP NO

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SALEM CLINIC, PC

Contact Information

Specialty

General Practice

NPI Profile & details for SALEM CLINIC, PC

Reviews for SALEM CLINIC, PC