Organization
PACIFIC FAMILY MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANNE RASMUSSEN MD (OWNER)
(503) 540-7477
Entity
Organization
Contact information
Practice address
966 12TH ST SE, SUITE 130, SALEM, OR 97302-2859
(503) 540-7477
(503) 540-5919
Mailing address
PO BOX 31, SALEM, OR 97308-0031
(503) 540-7477
(503) 540-5919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271022
—
OR
Enumeration date
01/29/2007
Last updated
04/07/2011
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