NPI 1437510922

Oregon Dept. of Corrections

Organisation Custodial Care Facility Salem, OR

Practice location

Address: 2757 22nd St SE, Salem, OR 97302-1553
Phone: (503) 378-5507

Authorised official

Name: Steven R. Shelton
Title: Medical Director
Phone: (503) 378-5530

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 80045964 (OR)

Other Custodial Care Facility providers in Oregon →

Registry record

NPI: 1437510922
Entity type: Organization
NPI issued: 11 Mar 2016
Record last updated: 11 Mar 2016

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.