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Organization
SOUTH SALEM IMMEDIATE CARE INC.
Active
Organization
SOUTH SALEM IMMEDIATE CARE INC.
Active
Other names
DBA Urgent Care Clinic South
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL MADDY (PRESIDENT/OWNER)
(503) 588-1234
Entity
Organization
Contact information
Practice address
3777 COMMERCIAL ST SE, SALEM, OR 97302
(503) 588-1234
(503) 371-8662
Mailing address
3777 COMMERCIAL ST SE, SALEM, OR 97302
(503) 588-1234
(503) 371-8662
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MD11684
OR
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/24/2007
Last updated
11/27/2018
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