Pacific Family Medical Center LLC

NPI #1902942055 in Salem, Oregon

Provider Information

NPI Number: 1902942055
Entity Type: Organization
Organization Name: Pacific Family Medical Center LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 29, 2007
Last Updated: Apr 7, 2011

Practice Location

Address: 966 12TH ST SE
Address 2: SUITE 130
City: Salem
State: Oregon
ZIP Code: 97302-2859
Phone: (503) 540-7477

Authorized Official

Name: MICHELLE ANNE RASMUSSEN, MD
Title: OWNER
Phone: (503) 540-7477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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