Pacific Coast Clinic Salem Llc

LBN: Pacific Coast Clinic Salem Llc
Pacific Coast Clinic Salem Llc is an health care organization with primary practice located at 1249 Fairview Ave Se , Salem OR 97302-2534. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Pacific Coast Clinic Salem Llc can be contacted via phone (971) 239-1146, or through Khaleeq, Erum Ayaz via phone (971) 239-1146.

Contact Information

Primary practice address
1249 Fairview Ave Se Salem OR 97302-2534
Phone: (971) 239-1146
Fax: (503) 907-9933
Website:
Map and Directions
Authorized official contact:
Name: Khaleeq, Erum Ayaz Doctor of Medicine (MD)
Phone: (971) 239-1146

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X MD24295 Oregon

Profile Details

NPI number 1669704805
LBN Legal business name Pacific Coast Clinic Salem Llc
DBA Doing business as
Authorized official Khaleeq, Erum Ayaz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2010
Last updated Jun 1st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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