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General NPI Number Information
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NPI Number | 1245237486
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Entity Type | Organization
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Legal Business Name | SALEM HEALTH WEST VALLEY
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 525 SE WASHINGTON ST
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City | DALLAS
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State | OR
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Zip | 97338-2834
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Country | US
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Telephone | 503-623-8301
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94269
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City | SEATTLE
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State | WA
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Zip | 98124-6569
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Country | US
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Telephone | 503-623-8301
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Fax |
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Authorized Official
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Title or Position | EXEC VP AND CFO
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Name | MR. JAMES PARR
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Credential |
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Telephone | 503-814-2841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 141461
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 141461
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License Number State | OR
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