Organization · Type 2 NPI

Oregon Department of Corrections

Prison Health Clinic/Center · Salem, OR

NPI number 1750105045 Active

Practice location

3405 Deer Park Dr SE
Salem, OR 97310

Mailing address

2757 22nd St SE
Salem, OR 97302

Specialties and licenses

TaxonomyCodeLicense
Prison Health Clinic/Center Primary 261QP2400XNone listed

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About NPI 1750105045

Oregon Department of Corrections's National Provider Identifier is 1750105045, issued on Nov 13, 2024. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Salem, OR. The record was last updated on Nov 13, 2024.