Individual
RICHARD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1155 MISSION ST SE, SALEM, OR 97302-6228
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA169367
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196367
—
OR
Enumeration date
06/16/2006
Last updated
01/18/2010
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