Organization
KAISER SUNNYSIDE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY WHITE LCSW (DIRECTOR)
(503) 571-4755
Entity
Organization
Contact information
Practice address
3480 MOCK ORANGE CT S, SALEM, OR 97302-3647
(503) 314-6227
Mailing address
3480 MOCK ORANGE CT S, SALEM, OR 97302-3647
(503) 314-6227
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104100000X
SOCIAL WORK
OR
Enumeration date
10/30/2012
Last updated
10/30/2012
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