| Ups Pay Locality 11 (salem) (cdrc - Expansion) | |
|
891 23rd St Ne Salem OR 97301-1793 | |
| (503) 494-9000 | |
| Not Available |
| Full Name | Ups Pay Locality 11 (salem) (cdrc - Expansion) |
|---|---|
| Speciality | General Practice |
| Location | 891 23rd St Ne, Salem, Oregon |
| Authorized Official Name and Position | Thomas Heckler (ASSOCIATE DEAN) |
| Authorized Official Contact | 5034944481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ups Pay Locality 11 (salem) (cdrc - Expansion) 3181 Sw Sam Jackson Park Rd Mail Code Umg Portland OR 97239-3011 Ph: (503) 494-8471 | Ups Pay Locality 11 (salem) (cdrc - Expansion) 891 23rd St Ne Salem OR 97301-1793 Ph: (503) 494-9000 |
| NPI Number | 1588921837 |
|---|---|
| Provider Enumeration Date | 04/11/2012 |
| Last Update Date | 04/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588921837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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