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Organization

INNERHEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELA PFAFFENBERGER PH.D. (DIRECTOR)
(503) 364-3022
Entity
Organization

Contact information

Practice address
375 LEFFELLE ST SE, SALEM, OR 97302-4341
(503) 364-3022
(503) 364-0308
Mailing address
375 LEFFELLE ST SE, SALEM, OR 97302-4341
(503) 364-3022
(503) 364-0308

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
AC 01032
OR
261QH0100X
Health Service Clinic/Center
Primary
AC 01032
OR

Other

Enumeration date
07/15/2008
Last updated
04/22/2011
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