Organization
SAINT MOSCATI COMMUNITY HEALTH CARE
Active
Other names
Saint moscati Community Health Care, Juan L. Castillo
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA CASTILLO (ADMINISTRATIVE ASSISTANT)
(971) 273-0679
Entity
Organization
Contact information
Practice address
1880 LANCASTER DR NE STE 104, SALEM, OR 97305-1040
(971) 273-0679
(503) 961-0794
Mailing address
1880 LANCASTER DR NE STE 104, SALEM, OR 97305-1040
(971) 273-0679
(503) 961-0794
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
201600993NP-PP
OR
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500746269
—
OR
Enumeration date
03/18/2017
Last updated
04/04/2024
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