Organization
MID VALLEY FAMILY PHYSICIANS
Active
Parent organization
MID VALLEY FAMILY PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID VALLEY FAMILY PHYSICIANS
Authorized official
RONALD M PALM DO (PHYSICIAN OWNER)
(503) 393-0540
Entity
Organization
Contact information
Practice address
550 DIETZ AVE NE, KEIZER, OR 97303-4615
(503) 393-0540
(503) 393-3695
Mailing address
550 DIETZ AVE NE, KEIZER, OR 97303-4615
(503) 393-0540
(503) 393-3695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D025292
OR
207Q00000X
Family Medicine Physician
Primary
D025302
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232446
—
OR
Enumeration date
10/30/2007
Last updated
11/01/2007
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