| NPI | 1356357784 |
|---|---|
| Doing Business As | LEGACY SALMON CREEK PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | ANNA LOOMIS SVP & CFO 503-415-5730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA H208) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| 208M00000X Hospitalist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP3300X Clinic/Center, Pain | |
| 261QX0203X Clinic/Center, Oncology, Radiation | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-07-25 |