Organization
SALEM BRAIN & SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGDALENA JANINA BANASIAK MD (OWNER)
(503) 990-6398
Entity
Organization
Contact information
Practice address
700 BELLEVUE ST SE, SUITE 245, SALEM, OR 97301-3819
(503) 990-6398
(503) 990-6399
Mailing address
700 BELLEVUE ST SE, SUITE 245, SALEM, OR 97301-3819
(503) 990-6398
(503) 990-6399
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MD 150631
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500626535
—
OR
Enumeration date
03/31/2010
Last updated
11/20/2012
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