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Organization

DOCTORS CLINIC LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES T MCKEON (ADMINISTRATOR)
(503) 391-1110
Entity
Organization

Contact information

Practice address
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306-9490
(503) 391-1110
(503) 370-4237
Mailing address
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306-9490
(503) 391-1110
(503) 370-4237

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045302
OR
Enumeration date
12/07/2005
Last updated
08/19/2014
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