# SALEM VASCULAR CONSULTANTS, LLP

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

## Provider details

- **NPI number:** 1508074147
- **Authorized official:** DR. RICK D PITTMAN MD (PARTNER)
- **Authorized official phone:** (503) 371-8346

## Contact information

- **Practice address:** 1535 LIBERTY ST SE, SALEM, OR 97302-4345
- **Practice address phone:** (503) 371-8346
- **Practice address fax:** (503) 371-8334
- **Mailing address:** 1535 LIBERTY ST SE, SALEM, OR 97302-4345
- **Mailing address phone:** (503) 371-8346
- **Mailing address fax:** (503) 371-8334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01816100 | BLUE CROSS | OR |
| 05 | — | 287677 | — | OR |