| Oregon Integrated Health | |
|
1535 Liberty St Se # 416 Salem OR 97302-4345 | |
| (866) 972-0235 | |
| Not Available |
| Full Name | Oregon Integrated Health |
|---|---|
| Speciality | General Practice |
| Location | 1535 Liberty St Se # 416, Salem, Oregon |
| Authorized Official Name and Position | Jacqueline Morrison Nelson (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 5039720235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Integrated Health 2459 Se Tualatin Valley Hwy # 416 Hillsboro OR 97123-7919 Ph: (503) 972-0235 | Oregon Integrated Health 1535 Liberty St Se # 416 Salem OR 97302-4345 Ph: (866) 972-0235 |
| NPI Number | 1861073058 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861073058 | NPI | - | NPPES |
| 500778447 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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