Individual
JACK BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1002 BELLEVUE ST SE, SALEM HOSPITAL URGENT CARE CENTER, SALEM, OR 97301-4006
(503) 561-5554
Mailing address
1002 BELLEVUE ST SE, SALEM HOSPITAL URGENT CARE CENTER, SALEM, OR 97301-4006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13298
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116913
—
OR
Enumeration date
03/06/2007
Last updated
07/08/2007
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