Organization
OREGON HEART CENTER PC
Active
Other names
Salem Heart Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LUDWICK (ADMINISTRATOR)
(503) 561-7171
Entity
Organization
Contact information
Practice address
610 HAWTHORNE AVE SE STE 110, SALEM, OR 97301
(503) 814-4440
(503) 814-4444
Mailing address
PO BOX 886, SALEM, OR 97308-0886
(503) 814-4440
(503) 814-4444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500618815
—
OR
01
—
R152591
MEDICARE
OR
Enumeration date
02/02/2010
Last updated
07/11/2018
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