Pdh Family Medical Home, LLC

NPI #1518285915 in Salem, Oregon

Provider Information

NPI Number: 1518285915
Entity Type: Organization
Organization Name: Pdh Family Medical Home, LLC
Primary Specialty: Family Medicine
Enumeration Date: May 10, 2010
Last Updated: May 10, 2010

Practice Location

Address: 608 LANCASTER DR SE
City: Salem
State: Oregon
ZIP Code: 97317-5643
Phone: (503) 399-7474

Authorized Official

Name: DR. PHYLLIS D HURSEY, MD FAAFP
Title: OWNER
Phone: (503) 399-7474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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