| NPI | 1801230776 |
|---|---|
| Doing Business As | SALEM WOMEN'S CLINIC, INC |
| Entity Type | Organization |
| Authorized Contact | IBRAHIM ELDESOUKI CFO 503-399-2444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-25 |