# SALEM VASCULAR, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salem Vein & Aesthetics Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831411560
- **Authorized official:** RICK D PITTMAN MD (OWNER)
- **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:** 02/22/2010
- **Last updated:** 02/22/2010