Salem Women'S Clinic, Inc

LBN: Salem Wellness Clinic
Salem Women'S Clinic, Inc is an health care organization with primary practice located at 1395 Liberty St Se , Salem OR 97302-4276. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Salem Wellness Clinic can be contacted via phone (503) 399-2444, or through Eldesouki, Ibrahim via phone (503) 399-2444.

Contact Information

Primary practice address
1395 Liberty St Se Salem OR 97302-4276
Phone: (503) 399-2444
Fax: (503) 581-3960
Website:
Map and Directions
Authorized official contact:
Name: Eldesouki, Ibrahim
Phone: (503) 399-2444

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1801230776
LBN Legal business name Salem Wellness Clinic
DBA Doing business as Salem Women'S Clinic, Inc
Authorized official Eldesouki, Ibrahim
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2013
Last updated Apr 25th, 2013 - about 13 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 1801230776 NPPES
Oregon MEDICAID 286300

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