Mid Valley Family Physicians

NPI #1225217995 in Keizer, Oregon

Provider Information

NPI Number: 1225217995
Entity Type: Organization
Organization Name: Mid Valley Family Physicians
Subpart: Yes (part of a larger organization)
Parent Organization: MID VALLEY FAMILY PHYSICIANS
Primary Specialty: Family Medicine
Enumeration Date: Oct 30, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 550 DIETZ AVE NE
City: Keizer
State: Oregon
ZIP Code: 97303-4615
Phone: (503) 393-0540

Authorized Official

Name: RONALD M PALM, DO
Title: PHYSICIAN OWNER
Phone: (503) 393-0540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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