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General NPI Number Information
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NPI Number | 1013505288
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Entity Type | Organization
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Legal Business Name | SALEM HEALTH
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 1002 BELLEVUE ST SE
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City | SALEM
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State | OR
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Zip | 97301-4006
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Country | US
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Telephone | 503-814-5554
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Fax |
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Provider Business Mailing Address
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Address Line | 890 OAK ST SE
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City | SALEM
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State | OR
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Zip | 97301-3905
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHERYL ROSE WOLFE
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Credential |
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Telephone | 503-814-2843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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