Organization
PACIFIC CARDIOVASCULAR CENTER, LLC
Active
Other names
PACIFIC CARDIOVASCULAR SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHUNANDAN KAMINENI MD (MEDICAL DIRECTOR)
(971) 707-4525
Entity
Organization
Contact information
Practice address
550 HAWTHORNE AVE SE, SALEM, OR 97301-5206
(971) 707-4525
Mailing address
550 HAWTHORNE AVE SE, SALEM, OR 97301-5206
(971) 707-4525
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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