Organization
EXTENSIONS NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ANNE REDWINE (PRESIDENT)
(503) 851-6789
Entity
Organization
Contact information
Practice address
690 TAYBIN RD NW, SALEM, OR 97304-3187
(503) 743-0684
Mailing address
PO BOX 5576, SALEM, OR 97304-0576
(503) 743-0684
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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