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Organization

SALEM PEDIATRIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIZ CASEBEER (ADMINISTRATOR)
(503) 485-3707
Entity
Organization

Contact information

Practice address
2478 13TH ST SE, SALEM, OR 97302-2546
(503) 362-2481
(503) 371-7803
Mailing address
2478 13TH ST SE, SALEM, OR 97302-2546
(503) 362-2481
(503) 371-7803

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
11/29/2006
Last updated
03/04/2015
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