NIRMAL BASTOLA

SALEM CLINIC, PC

Dr NIRMAL BASTOLA is a male medical professional, specializing in Family Medicine. He graduated in 2002.

Contact

SALEM CLINIC, PC

5900 INLAND SHORES WAY N
SUITE 100
KEIZER
OR
973033883

Tel: 5033992424

NIRMAL BASTOLA Information

Npi 1730310830
Pac Id 3678738895
Professional Enrollment Id I20170315002278
Last Name BASTOLA
First Name NIRMAL
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2002
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SALEM CLINIC, PC
Group Practice Pac Id 7517954514
Number Of Group Practice Members 118
Line 1 Street Address 5900 INLAND SHORES WAY N
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City KEIZER
State OR
Zip Code 973033883
Phone Number 5033992424
Hospital Affiliation Ccn 1 380051
Hospital Affiliation Lbn 1 SALEM HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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