PACIFIC COAST CLINIC SALEM LLC is an adult mental health clinic center in Salem, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PACIFIC COAST CLINIC SALEM LLC NPI is 1669704805. The provider is registered as an organization entity type.
The provider's business location address is:
1249 FAIRVIEW AVE SE
SALEM, OR
ZIP 97302-534
Phone: (971) 239-1146
Fax: (503) 907-9933
The provider's authorized official is Erum Ayaz Khaleeq .
The authorized official title is Psychiatrist and has the following contact phone number (971) 239-1146.
The enumeration date for this NPI number is 2/11/2010 and was last updated on 6/1/2011.