Organization
SALEM TRAVEL CLINIC, LLC
Active
Other names
Salem Travel Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C GIROD M.D. (OWNER-MEMBER)
(503) 540-9999
Entity
Organization
Contact information
Practice address
2720 COMMERCIAL ST SE, SUITE 201, SALEM, OR 97302-4495
(503) 540-9999
(503) 540-3105
Mailing address
2720 COMMERCIAL ST SE, SUITE 201, SALEM, OR 97302-4495
(503) 540-9999
(503) 540-3105
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MD12930
OR
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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