Vida Family Medicine, LLC

NPI #1063567832 in Salem, Oregon

Provider Information

NPI Number: 1063567832
Entity Type: Organization
Organization Name: Vida Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 24, 2007
Last Updated: Apr 11, 2022

Practice Location

Address: 374 OWENS ST SE STE 100
City: Salem
State: Oregon
ZIP Code: 97302-4183
Phone: (503) 399-1400

Authorized Official

Name: TERI L LITKE-FETSCH
Title: ADMINISTRATOR
Phone: (503) 399-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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