| Salem Clinic, Pc | |
|
5900 Inland Shores Way N Keizer OR 97303-3795 | |
| (503) 399-2424 | |
| Not Available |
| Full Name | Salem Clinic, Pc |
|---|---|
| Speciality | General Practice |
| Location | 5900 Inland Shores Way N, Keizer, Oregon |
| Authorized Official Name and Position | Barbara Gunder (ADMINISTRATOR/CAO) |
| Authorized Official Contact | 5033992470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Clinic, Pc Po Box 8100 Salem OR 97303-0900 Ph: (503) 399-2424 | Salem Clinic, Pc 5900 Inland Shores Way N Keizer OR 97303-3795 Ph: (503) 399-2424 |
| NPI Number | 1992973622 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 12/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992973622 | NPI | - | NPPES |
| CS4159 | Other | OR | RAILROAD MEDICARE NO. |
| R0000WCJWK | Other | OR | MEDICARE PTAN |
| 500400276 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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