Whalio Doctors

NPI 1447481866

Northwest Lifestyle Medicine, INC.

Organisation Public Health & General Preventive Medicine Physician Salem, OR

Practice location

Address
6250 Commercial St SE Suite 100, Salem, OR 97306-1333
Phone
(971) 983-5433
Fax
(971) 983-5434
Mailing address
PO Box 4141, Salem, OR 97302-8141

Authorised official

Name
Marcus a Braman
Title
President
Phone
(971) 983-5433

Registered specialties

Public Health & General Preventive Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence MD21630 (OR)

Registry record

NPI
1447481866
Entity type
Organization
NPI issued
3 Aug 2009
Record last updated
29 Dec 2015

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.