Organization
VIDA FAMILY MEDICINE, LLC
Active
Other names
Vida Integrative Medicine & Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
TERI L LITKE-FETSCH (ADMINISTRATOR)
(503) 399-1400
Entity
Organization
Contact information
Practice address
374 OWENS ST SE STE 100, SALEM, OR 97302-4183
(503) 399-1400
(503) 399-1406
Mailing address
PO BOX 883, SALEM, OR 97308-0883
(503) 399-1400
(503) 399-1406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
04/11/2022
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