Organization
SALEM CARDIOLOGY ARRHYTHMIA DIVISION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE LAI M.D. (OWNER)
(503) 561-8550
Entity
Organization
Contact information
Practice address
875 OAK ST SE, SUITE #5040, SALEM, OR 97301-3975
(503) 561-8550
(503) 561-8560
Mailing address
PO BOX 665, BEAVERTON, OR 97075-0665
(503) 561-8550
(503) 561-8560
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
17813
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288256
—
OR
Enumeration date
06/12/2006
Last updated
06/05/2008
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