institution
Phoenix Rising Family Medicine Llc
Primary Care Clinic/Center in Salem, Oregon
NPI 1033654793

Phoenix Rising Family Medicine Llc is a Primary Care Clinic/Center based in Salem, OR and is specialized in Primary Care. Phoenix Rising Family Medicine Llc practices in Salem, OR. The NPI Number for Phoenix Rising Family Medicine Llc is 1033654793 and holds a License No. 201505391NP-PP (Oregon).

The current practice location address for Phoenix Rising Family Medicine Llc is 810 Commercial St Se, Salem, OR and can be reached out via phone at 971-227-1073. You can also correspond with Phoenix Rising Family Medicine Llc through the mailing address at PO BOX 2693, SALEM, OR - 97308-2693 (mailing address contact number: 541-556-6743).

Location: 810 Commercial St Se, Salem, OR, 97308-2693
institution
Provider Profile Details
NPI Number
1033654793
Provider Name
Phoenix Rising Family Medicine Llc
Credential
Provider Entity Type
Organization
Address
810 Commercial St Se, Salem, OR, 97308-2693
Phone Number
971-227-1073
Fax Number
Provider Enumeration Date
01/04/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500690272 05 OR
R185124 01 OR MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
810 Commercial St Se
City
State
Zip
97302
Phone Number
971-227-1073
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 2693
City
State
Zip
97308-2693
Phone Number
541-556-6743
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
201505391NP-PP (Oregon)
Definition
Definition to come...
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