Individual
DR. JAMES KENNETH LACE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2395 CENTER ST NE, SALEM, OR 97301-4464
(503) 364-2181
(503) 364-0364
Mailing address
2395 CENTER ST NE, SALEM, OR 97301-4464
(503) 364-2181
(503) 364-0364
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10393
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112060
—
OR
Enumeration date
06/25/2006
Last updated
07/08/2007
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