| Wvp-mcgilchrist | |
|
2478 13th St Se Ste. 200 Salem OR 97302-2546 | |
| (503) 588-5892 | |
| (505) 485-0709 |
| Full Name | Wvp-mcgilchrist |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2478 13th St Se, Salem, Oregon |
| Authorized Official Name and Position | Dean G. Andretta (CFO) |
| Authorized Official Contact | 5033717701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wvp-mcgilchrist 2478 13th St Se Ste. 200 Salem OR 97302-2546 Ph: (503) 588-5892 | Wvp-mcgilchrist 2478 13th St Se Ste. 200 Salem OR 97302-2546 Ph: (503) 588-5892 |
| NPI Number | 1538459938 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538459938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Oregon) | Primary |
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