Organization
SALEM CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA GUNDER CAO (ADMINISTRATOR/CAO)
(503) 399-2470
Entity
Organization
Contact information
Practice address
1174 CORNUCOPIA ST NW STE 120, SALEM, OR 97304-3193
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2470
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179051
—
OR
Enumeration date
08/12/2011
Last updated
08/12/2011
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