Organization
PDH FAMILY MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS D HURSEY M.D. (PRESIDENT)
(503) 399-7474
Entity
Organization
Contact information
Practice address
608 LANCASTER DR SE, SALEM, OR 97317-5643
(503) 399-7474
(503) 399-0679
Mailing address
581 LANCASTER DR SE # 288, SALEM, OR 97317-5642
(503) 399-7474
(503) 399-0679
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD26240
OR
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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