Basic Information
| Provider Information | |||||||||
| NPI: | 1437374998 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SALMAN | ||||||||
| FirstName: | FAIZA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 123 PONDEROSA DR | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | SUTHERLIN | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974799812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5414593500 | ||||||||
| FaxNumber: | 5414593589 | ||||||||
| Practice Location | |||||||||
| Address1: | 123 PONDEROSA DR | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | SUTHERLIN | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974799812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5414593500 | ||||||||
| FaxNumber: | 5414593589 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2007 | ||||||||
| LastUpdateDate: | 10/03/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD29236 | OR | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | MD29236 | 01 | OR | OREGON MEDICAL BOARD | OTHER |