# SALEM CARDIOLOGY ARRHYTHMIA DIVISION, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013959493
- **Authorized official:** DR. WALLACE LAI M.D. (OWNER)
- **Authorized official phone:** (503) 561-8550

## Contact information

- **Practice address:** 875 OAK ST SE, SUITE \#5040, SALEM, OR 97301-3975
- **Practice address phone:** (503) 561-8550
- **Practice address fax:** (503) 561-8560
- **Mailing address:** PO BOX 665, BEAVERTON, OR 97075-0665
- **Mailing address phone:** (503) 561-8550
- **Mailing address fax:** (503) 561-8560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 17813 | OR | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 06/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 288256 | — | OR |