Organization
A WORKSAFE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W BLIVEN (OFFICE MANAGER)
(503) 391-9363
Entity
Organization
Contact information
Practice address
1696 CAPITOL ST NE, SALEM, OR 97301-7855
(503) 391-9363
(503) 316-9110
Mailing address
1696 CAPITOL ST NE, SALEM, OR 97301-7855
(503) 391-9363
(503) 316-9110
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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