Organization
CLINICA MEDICAL NUESTRA SENORA DE GUADALUPE
Active
Other names
Guadalupe Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE LATTIMER (CLINIC ADMINISTRATOR)
(503) 364-5818
Entity
Organization
Contact information
Practice address
1495 LIBERTY ST NE, SALEM, OR 97301-6431
(503) 364-5818
(503) 364-2484
Mailing address
1495 LIBERTY ST NE, SALEM, OR 97301-6431
(503) 364-5818
(503) 364-2484
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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