Lancaster Medical Clinic
General Practice in Salem, OR. Organization (NPI-2).
NPI number1487956512
StatusActive
Last updated in NPPESNov 22, 2010
Details
- NPI
- 1487956512
- Entity type
- Organization (NPI-2)
- Legal business name
- Lancaster Medical Clinic
- Organization subpart
- No
- Enumeration date
- Nov 22, 2010
- Last updated
- Nov 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | MD05881 | OR | Yes |
| 207Q00000X | Family Medicine | MD05881 | OR | |
| 208100000X | Physical Medicine & Rehabilitation | MD05881 | OR |
Practice location
1880 Lancaster Dr NeSuite 127
Salem, OR 97305-1089
Phone 503-581-1113 · Fax 503-363-4997
Mailing address
2252 Lloyd CtrPortland, OR 97232-1311
Phone 503-282-2502 · Fax 503-249-0407
Authorized official
Floyd Douglas Day
Owner/Physician
5032822502
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