Organization
HEALTHPASS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOI FARLOUGH MATTHEWS (MANAGER)
(404) 840-6596
Entity
Organization
Contact information
Practice address
1655 LIBERTY ST SE, SALEM, OR 97302-4347
(503) 339-7689
Mailing address
PO BOX 3125, SALEM, OR 97302-0125
(503) 537-7778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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