Organization
MILL CREEK FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY NELENE KELBER (OFFICE MANAGER)
(503) 391-6615
Entity
Organization
Contact information
Practice address
4285 COMMERCIAL ST SE, SUITE 120, SALEM, OR 97302-4371
(503) 391-6615
Mailing address
4285 COMMERCIAL ST SE, SUITE 120, SALEM, OR 97302-4371
(503) 931-2948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NP135211
OR
Other
Enumeration date
02/07/2012
Last updated
05/02/2012
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