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Pacific Spine & Rehab, Llc
Medical Specialty Clinic/Center in Salem, Oregon
NPI 1992999536

Pacific Spine & Rehab, Llc is a Medical Specialty Clinic/Center based in Salem, OR and is specialized in Medical Specialty. Pacific Spine & Rehab, Llc practices in Salem, OR. The NPI Number for Pacific Spine & Rehab, Llc is 1992999536 and holds a License No. MD27619 (Oregon).

The current practice location address for Pacific Spine & Rehab, Llc is 2480 Liberty St Ne, Salem, OR and can be reached out via phone at 503-364-1990 and via fax at 503-391-4688.

Location: 2480 Liberty St Ne, Salem, OR, 97301-8388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992999536
Provider Name
Pacific Spine & Rehab, Llc
Credential
Provider Entity Type
Organization
Address
2480 Liberty St Ne, Salem, OR, 97301-8388
Phone Number
503-364-1990
Fax Number
503-391-4688
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2480 Liberty St Ne
City
Salem
State
Oregon
Zip
97301-8388
Phone Number
503-364-1990
Fax Number
503-391-4688
person
Provider Business Mailing Address Details
Address
2480 Liberty St Ne
City
Salem
State
Oregon
Zip
97301-8388
Phone Number
503-364-1990
Fax Number
503-391-4688
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD27619 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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