Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1316972524
Child & Adolescent Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2755, Commercial Street Southeast, South Salem, Salem, Marion County, Oregon, 97302, United States
#101-315
SALEM, OR 973024981
Phone: (971) 273-5001
Fax: (971) 273-5061
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97302)
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