| Extensions NW | |
|
690 Taybin Rd Nw Salem OR 97304-3187 | |
| (503) 743-0684 | |
| Not Available |
| Full Name | Extensions NW |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 690 Taybin Rd Nw, Salem, Oregon |
| Authorized Official Name and Position | Carol Anne Redwine (PRESIDENT) |
| Authorized Official Contact | 5038516789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extensions NW Po Box 5576 Salem OR 97304-0576 Ph: (503) 743-0684 | Extensions NW 690 Taybin Rd Nw Salem OR 97304-3187 Ph: (503) 743-0684 |
| NPI Number | 1427908797 |
|---|---|
| Provider Enumeration Date | 01/28/2026 |
| Last Update Date | 01/28/2026 |
| Certification Date | 01/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427908797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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