SALEM BRAIN & SPINE LLC NPI 1235454455

NPI Information

SALEM BRAIN & SPINE, LLC is a health service clinic center in Salem, OR. SALEM BRAIN & SPINE, LLC NPI is 1235454455. The provider is registered as an organization entity type.

The provider's business location address is:

700 BELLEVUE ST SE
SUITE 245
SALEM, OR
ZIP 97301-819
Phone: (503) 990-6398
Fax: (503) 990-6399

The provider's authorized official is Magdalena Janina Banasiak .
The authorized official title is Owner and has the following contact phone number (503) 990-6398.

The enumeration date for this NPI number is 3/31/2010 and was last updated on 11/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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