Organization
MARION COUNTY
Active
Other names
Marion County Health and Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
TRUCMAI CAO (BILLING SUPERVISOR)
(503) 361-2648
Entity
Organization
Contact information
Practice address
2045 SILVERTON RD NE STE A, SALEM, OR 97301-0100
(503) 588-5352
Mailing address
3160 CENTER ST NE, SALEM, OR 97301-4530
(503) 588-5358
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190702
—
OR
Enumeration date
12/13/2006
Last updated
03/20/2024
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