Oregon Dept. of Corrections

NPI #1437510922 in Salem, Oregon

Provider Information

NPI Number: 1437510922
Entity Type: Organization
Organization Name: Oregon Dept. of Corrections
Primary Specialty: Custodial Care Facility
Enumeration Date: Mar 11, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 2757 22ND ST SE
City: Salem
State: Oregon
ZIP Code: 97302-1553
Phone: (503) 378-5507

Authorized Official

Name: DR. STEVEN R. SHELTON, MD
Title: MEDICAL DIRECTOR
Phone: (503) 378-5530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility	311Z00000X	Primary

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