MILL CREEK FAMILY CLINIC INC NPI 1114299153

NPI Information

MILL CREEK FAMILY CLINIC INC is a family medicine in Salem, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MILL CREEK FAMILY CLINIC INC NPI is 1114299153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4285 COMMERCIAL ST SE
SUITE 120
SALEM, OR
ZIP 97302-371
Phone: (503) 391-6615

The provider's authorized official is Peggy Nelene Kelber .
The authorized official title is Office Manager and has the following contact phone number (503) 391-6615.

The CLIA number assigned to this NPI record is 38D2037391 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2012 and was last updated on 5/2/2012.

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:

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