Individual
TALA SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 SW RAMSEY AVE, GRANT PASS, OR 97527-5543
(541) 472-7000
(541) 472-7107
Mailing address
2825 E BARNETT RD, MSS, MEDFORD, OR 97504-8332
(541) 789-4281
(541) 789-4806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204262
OR
207R00000X
Internal Medicine Physician
Primary
OR204262
OR
Other
Enumeration date
06/19/2017
Last updated
08/01/2023
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