Organization
PACIFIC FAMILY MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A RASMUSSEN MD (OWNER)
(503) 540-7477
Entity
Organization
Contact information
Practice address
1285 LIBERTY ST SE, SALEM, OR 97302-4243
(503) 540-7477
Mailing address
1285 LIBERTY ST SE, PO BOX 31, SALEM, OR 97302-4243
(503) 540-7477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22310
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114653
—
OR
Enumeration date
11/15/2006
Last updated
08/22/2020
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