Organization
SALEM VASCULAR CONSULTANTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK D PITTMAN MD (PARTNER)
(503) 371-8346
Entity
Organization
Contact information
Practice address
1535 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 371-8346
(503) 371-8334
Mailing address
1535 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 371-8346
(503) 371-8334
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01816100
BLUE CROSS
OR
05
—
287677
—
OR
Enumeration date
05/18/2007
Last updated
04/20/2008
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