Organization
SALVEO FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA P REMINGTON MD (OWNER)
(503) 623-8151
Entity
Organization
Contact information
Practice address
410 E ELLENDALE AVE STE 2, DALLAS, OR 97338-3052
(503) 623-8151
(503) 623-8185
Mailing address
201 SE WASHINGTON ST, SUITE C, DALLAS, OR 97338-2860
(503) 623-8151
(503) 623-8185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25243
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271140
—
OR
Enumeration date
08/30/2006
Last updated
07/21/2022
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