| Northwest Integrated Providers, Inc | |
|
2995 Ryan Dr Se Ste 200 Salem OR 97301-5157 | |
| (503) 371-7701 | |
| Not Available |
| Full Name | Northwest Integrated Providers, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2995 Ryan Dr Se Ste 200, Salem, Oregon |
| Authorized Official Name and Position | Manuel Rivera (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5035875116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Integrated Providers, Inc 2995 Ryan Dr Se Ste 200 Salem OR 97301-5157 Ph: (503) 371-7701 | Northwest Integrated Providers, Inc 2995 Ryan Dr Se Ste 200 Salem OR 97301-5157 Ph: (503) 371-7701 |
| NPI Number | 1295300416 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295300416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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