| H. Thomas Harvey | |
|
2995 Ryan Dr Se Suite 200 Salem OR 97301-5157 | |
| (503) 371-7701 | |
| Not Available |
| Full Name | H. Thomas Harvey |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2995 Ryan Dr Se, Salem, Oregon |
| Authorized Official Name and Position | Michelle Eldridge (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 5033626304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Thomas Harvey 1155 Mission St Se Suite 205 Salem OR 97302-6228 Ph: (503) 362-6304 | H. Thomas Harvey 2995 Ryan Dr Se Suite 200 Salem OR 97301-5157 Ph: (503) 371-7701 |
| NPI Number | 1871919639 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871919639 | NPI | - | NPPES |
| 041947 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD11557 (Oregon) | Primary |
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