institution
Qualicenters Salem, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salem, Oregon
NPI 1902918709

Qualicenters Salem, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Salem, OR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Qualicenters Salem, Llc practices in Salem, OR. The NPI Number for Qualicenters Salem, Llc is 1902918709 and holds a License No. (Oregon).

The current practice location address for Qualicenters Salem, Llc is 440 Lancaster Dr Ne, Salem, OR and can be reached out via phone at 503-364-1130 and via fax at 503-364-1096.

Location: 440 Lancaster Dr Ne, Salem, OR, 97301-4728
institution
Provider Profile Details
NPI Number
1902918709
Provider Name
Qualicenters Salem, Llc
Credential
Provider Entity Type
Organization
Address
440 Lancaster Dr Ne, Salem, OR, 97301-4728
Phone Number
503-364-1130
Fax Number
503-364-1096
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38-2515 01 OR PTAN
institution
Provider Business Practice Location Address Details
Address
440 Lancaster Dr Ne
City
State
Zip
97301-4728
Phone Number
503-364-1130
Fax Number
503-364-1096
person
Provider Business Mailing Address Details
Address
440 Lancaster Dr Ne
City
State
Zip
97301-4728
Phone Number
503-364-1130
Fax Number
503-364-1096
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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