Organization
SALEM CARDIOVASCULAR ASSOCIATES, PC
Active
Other names
Salem Cardiology Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E WASENMILLER MD (PRESIDENT)
(503) 585-5585
Entity
Organization
Contact information
Practice address
885 MISSION STREET SE, SALEM, OR 97302
(503) 585-5585
(503) 399-1659
Mailing address
885 MISSION STREET SE, SALEM, OR 97302
(503) 585-5585
(503) 399-1659
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OR
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000129
—
OR
Enumeration date
07/09/2006
Last updated
09/27/2011
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