Organization
KIDNEY CARE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAL LEE M.D. (MANAGING MEMBER)
(503) 561-8565
Entity
Organization
Contact information
Practice address
875 OAK ST SE STE 5070, SALEM, OR 97301-3975
(503) 561-8565
(503) 561-8560
Mailing address
875 OAK ST SE STE 5070, SALEM, OR 97301-3975
(503) 561-8565
(503) 561-8560
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11594223
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101
—
OR
Enumeration date
04/26/2007
Last updated
09/21/2011
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