NPI 1558061028
Church at the Park
Practice location
- Address
- 1280 Center St NE, Salem, OR 97301-4113
- Phone
- (503) 507-4992
- Mailing address
- 2111 Front St NE STE 1-103, Salem, OR 97301-0779
Authorised official
- Name
- Sean E Robertson
- Title
- Chief Clinical Officer
- Phone
- (503) 459-7685
Registered specialties (3)
Religious Nonmedical Health Care Institution
Primary
Case Management Agency
Community/Behavioral Health Agency
Registry record
- NPI
- 1558061028
- Entity type
- Organization
- NPI issued
- 3 Mar 2023
- Record last updated
- 3 Mar 2023
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.