NPI: 1801230776
Provider Name: SALEM WELLNESS CLINIC
Doing Business As: SALEM WOMEN'S CLINIC, INC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization
Specialization: Primary Care
Address:
1395 LIBERTY ST SE
SALEM, OR
ZIP 97302
Phone: (503) 399-2444
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SALEM WELLNESS CLINIC is a primary care nurse practitioner in Salem, OR. SALEM WELLNESS CLINIC NPI is 1801230776. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Salem Women's Clinic, Inc.
The provider's business location address is:
1395 LIBERTY ST SE
SALEM, OR
ZIP 97302-276
Phone: (503) 399-2444
Fax: (503) 581-3960
The provider's authorized official is Ibrahim Eldesouki .
The authorized official title is Cfo and has the following contact phone number (503) 399-2444.
The enumeration date for this NPI number is 4/23/2013 and was last updated on 4/25/2013.