Organization
SALEM REHABILITATION ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK D. BLAKE, MD MD (PRESIDENT)
(503) 561-5976
Entity
Organization
Contact information
Practice address
2561 CENTER ST NE, SALEM, OR 97301-4600
(503) 561-5902
(503) 561-4912
Mailing address
PO BOX 845, SALEM, OR 97308-0845
(503) 561-5902
(503) 561-4912
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213090
—
OR
Enumeration date
10/18/2007
Last updated
12/18/2009
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