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Organization
WEST SALEM MEMORY CARE LLC
Active
Organization
WEST SALEM MEMORY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD K HARRIS (PRESIDENT)
(503) 991-6412
Entity
Organization
Contact information
Practice address
2030 WALLACE RD NW, SALEM, OR 97304-2123
(508) 588-4428
(503) 588-1087
Mailing address
2030 WALLACE RD NW, SALEM, OR 97304-2123
(508) 588-4428
(503) 588-1087
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
NULL
Other
Enumeration date
06/22/2020
Last updated
07/10/2020
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