| NPI | 1124311550 |
|---|---|
| Doing Business As | SOUTH SALEM IMMEDIATE CARE |
| Entity Type | Organization |
| Authorized Contact | KARLEEN RAE KITZMILLER Owner 503-588-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR MD10412) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |