Whalio Doctors

NPI 1063658425

Marion Polk Community Health Plan, LLC.

Organisation Health Maintenance Organization Salem, OR

Practice location

Address
245 Commercial St SE STE 220, Salem, OR 97301-3466
Phone
(503) 371-7701
Fax
(503) 485-3224

Authorised official

Name
Dean Andretta
Title
Cfo
Phone
(503) 587-5107

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X

Registry record

NPI
1063658425
Entity type
Organization
NPI issued
6 Jan 2009
Record last updated
6 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.