| Pure Health Medical Clinic Inc | |
|
631 Jason St Ne Ste 100 Salem OR 97301-2357 | |
| (971) 273-0084 | |
| (971) 925-5123 |
| Full Name | Pure Health Medical Clinic Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 631 Jason St Ne Ste 100, Salem, Oregon |
| Authorized Official Name and Position | Matthew West (PHYSCIAN) |
| Authorized Official Contact | 9712730084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Health Medical Clinic Inc 631 Jason St Ne Ste 100 Salem OR 97301-2357 Ph: (971) 273-0084 | Pure Health Medical Clinic Inc 631 Jason St Ne Ste 100 Salem OR 97301-2357 Ph: (971) 273-0084 |
| NPI Number | 1528881216 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528881216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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