| Pdh Family Medical | |
|
608 Lancaster Dr Se Salem OR 97317-5643 | |
| (503) 399-7474 | |
| Not Available |
| Full Name | Pdh Family Medical |
|---|---|
| Speciality | Clinic/center |
| Location | 608 Lancaster Dr Se, Salem, Oregon |
| Authorized Official Name and Position | Phyllis Deshun Hursey (PHYSICIAN) |
| Authorized Official Contact | 5032692409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdh Family Medical 581 Lancaster Dr Se #288 Salem OR 97317-5642 Ph: (503) 399-7474 | Pdh Family Medical 608 Lancaster Dr Se Salem OR 97317-5643 Ph: (503) 399-7474 |
| NPI Number | 1720305832 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 04/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720305832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD26240 (Oregon) | Primary |
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