NPI 1154724540

Walmart

Organisation Community Health Clinic/Center Lebanon, OR

Practice location

Address: 3290 S Santiam Hwy, Lebanon, OR 97355-3737
Phone: (541) 258-7440
Mailing address: 1995 Trade St SE, Salem, OR 97301-8265

Authorised official

Name: Raed Alzahrani
Title: Pharmacy Manager
Phone: (503) 929-0199

Registered specialties

Community Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QC1500X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1154724540
Entity type: Organization
NPI issued: 30 Sep 2014
Record last updated: 30 Sep 2014

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.