OREGON CLINIC PC NPI 1417112616

NPI Information

OREGON CLINIC PC is a specialist in Salem, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OREGON CLINIC PC NPI is 1417112616. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Nswa Salem.

The provider's business location address is:

875 OAK ST SE
SUITE 5020
SALEM, OR
ZIP 97301-975
Phone: (503) 963-2801
Fax: (503) 963-2825

The provider's authorized official is Craig S Fausel .
The authorized official title is Ceo President and has the following contact phone number (503) 963-2801.

The enumeration date for this NPI number is 7/28/2008 and was last updated on 3/29/2016.

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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