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New Life Family Medicine Llc
Primary Care Clinic/Center in Salem, Oregon
NPI 1588113278

New Life Family Medicine Llc is a Primary Care Clinic/Center based in Salem, OR and is specialized in Primary Care. New Life Family Medicine Llc practices in Salem, OR. The NPI Number for New Life Family Medicine Llc is 1588113278 and holds a License No. 099006422N1 (Oregon).

The current practice location address for New Life Family Medicine Llc is 842 Commercial Street Ne, Salem, OR and can be reached out via phone at 503-586-8291.

Location: 842 Commercial Street Ne, Salem, OR, 97304-0485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588113278
Provider Name
New Life Family Medicine Llc
Credential
Provider Entity Type
Organization
Address
842 Commercial Street Ne, Salem, OR, 97304-0485
Phone Number
503-586-8291
Fax Number
Provider Enumeration Date
09/23/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116907 01 OR MEDICARE ID
210764 05 OR
institution
Provider Business Practice Location Address Details
Address
842 Commercial Street Ne
City
Salem
State
Oregon
Zip
97302
Phone Number
503-586-8291
Fax Number
person
Provider Business Mailing Address Details
Address
842 Commercial Street Ne
City
Salem
State
Oregon
Zip
97302
Phone Number
503-586-8291
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
099006422N1 (Oregon)
Definition
Definition to come...
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