Salem Clinic, Pc

LBN: Salem Clinic, Pc
Salem Clinic, Pc is an health care organization with primary practice located at 1174 Cornucopia St Nw Ste 120 , Salem OR 97304-3193. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Salem Clinic, Pc can be contacted via phone (503) 399-2424, or through Gunder, Barbara via phone (503) 399-2470.

Contact Information

Primary practice address
1174 Cornucopia St Nw Ste 120 Salem OR 97304-3193
Phone: (503) 399-2424
Fax: (503) 375-7429
Website:
Map and Directions
Authorized official contact:
Name: Gunder, Barbara CAO
Phone: (503) 399-2470

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1962781526
LBN Legal business name Salem Clinic, Pc
DBA Doing business as
Authorized official Gunder, Barbara CAO
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2011
Last updated Aug 12th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962781526 NPPES
Oregon MEDICAID 179051

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