Healthcare Provider Details

I. General information

NPI: 1669525283
Provider Name (Legal Business Name): MARION COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 CENTER ST NE
SALEM OR
97301-4532
US

IV. Provider business mailing address

3180 CENTER ST NE
SALEM OR
97301-4532
US

V. Phone/Fax

Practice location:
  • Phone: 503-588-5355
  • Fax: 503-585-4995
Mailing address:
  • Phone: 503-588-5355
  • Fax: 503-585-4995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number000030075N7
License Number StateOR

VIII. Authorized Official

Name: MRS. PAM HEILMAN
Title or Position: DIVISION DIRECTOR
Credential: RNMPH
Phone: 503-588-5612