Organization
SANTIAM ORTHOPEDICS AND SPORTS MEDICINE PC
Active
Other names
Raylene Gordin M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYLENE LORRAINE GORDIN M.D. (PRESIDENT)
(503) 375-3636
Entity
Organization
Contact information
Practice address
700 BELLEVUE ST SE, SUITE 260, SALEM, OR 97301-3819
(503) 375-3636
(503) 375-3737
Mailing address
700 BELLEVUE ST SE, SUITE 260, SALEM, OR 97301-3819
(503) 375-3636
(503) 375-3737
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD19742
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081356
—
OR
Enumeration date
10/25/2007
Last updated
02/26/2008
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