Organization
OHRC SALEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A. WILKEN AUD (AUTHORIZED OFFICIAL)
(360) 816-2958
Entity
Organization
Contact information
Practice address
1560 COMMERCIAL ST SE, SALEM, OR 97302-4310
(360) 816-2958
Mailing address
1560 COMMERCIAL ST SE, SALEM, OR 97302-4310
(360) 816-2958
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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