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Organization
MID VALLEY FAMILY PHYSICIANS
Active
Organization
MID VALLEY FAMILY PHYSICIANS
Active
Parent organization
MID VALLEY FAMILY PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID VALLEY FAMILY PHYSICIANS
Authorized official
RONALD M PALM DO (PHYSICIAN OWNER)
(503) 393-0540
Entity
Organization
Contact information
Practice address
550 DIETZ AVE NE, KEIZER, OR 97303-4615
(503) 393-0540
(503) 393-3695
Mailing address
550 DIETZ AVE NE, KEIZER, OR 97303-4615
(503) 393-0540
(503) 393-3695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D025292
OR
207Q00000X
Family Medicine Physician
Primary
D025302
OR
Other
Enumeration date
10/30/2007
Last updated
11/01/2007
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