Organization
SILVERTON HEALTH
Active
Other names
Legacy Medical Group Orthopedics and Sports Medicine Silverton
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JENSEN (INTERIM CFO)
(503) 415-5145
Entity
Organization
Contact information
Practice address
452 WELCH ST, SILVERTON, OR 97381
(503) 873-1722
(503) 874-2470
Mailing address
PO BOX 3417, PORTLAND, OR 97208-3417
(503) 873-1500
(503) 873-1534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200550137NP
OR
174400000X
Specialist
MD16538
OR
174400000X
Specialist
MD24813
OR
174400000X
Specialist
MD25349
OR
174400000X
Specialist
MD25866
OR
Other
Enumeration date
08/16/2006
Last updated
07/20/2018
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