DR. POLY CHEN (NPI# 1255421467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255421467 |
| Entity Type | Individual |
| Full Name | DR. POLY CHEN |
| Credential | M.D. |
| Practice Address |
2480 Liberty St Ne Suite 110 Salem OR 97301-8380 |
| Mailing Address |
2480 Liberty St Ne Suite 180 Salem OR 97301-8388 |
| Practice Telephone | 5033711010 |
| Mailing Telephone | 5033711010 |
| Mailing Fax Number | 5033710805 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 48838020 | WI | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD29376 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
2480 LIBERTY ST NE SUITE 110 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-8380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881694792 | Willamette Spine Center Ambulatory Surgery LLC | Clinic/Center | 2480 Liberty St Ne, Suite 120, Salem, OR 97303-6780 | 2005-07-21 |
| 1356726418 | Advanced Vascular Therapy LLC | Surgery | 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8380 | 2015-07-29 |
| 1912308404 | Nash William Keene | Physician Assistant | 2480 Liberty St Ne, Suite 180, Salem, OR 97301-8380 | 2014-09-16 |
| 1326464181 | Janelle Zych | Physical Therapist | 2480 Liberty St Ne, Suite 140, Salem, OR 97301 | 2014-03-17 |
| 1336411636 | Donald Edwin Winder Jr. | Physician Assistant | 2480 Liberty St Ne, #110, Salem, OR 97301-8380 | 2012-02-01 |
| 1235466772 | Jessica Lauren Visintainer | Physical Therapist | 2480 Liberty St Ne, Ste 140, Salem, OR 97301-8380 | 2009-11-04 |
| 1023243474 | Pain Care Specialists, PC | Anesthesiology | 2480 Liberty St Ne, Suite 180, Salem, OR 97301-8380 | 2009-05-28 |
| 1982841565 | Priscilla Anne Walters | Social Worker | 2480 Liberty St Ne, Salem, OR 97301-8380 | 2009-01-19 |
| 1992999536 | Pacific Spine & Rehab, LLC | Clinic/Center | 2480 Liberty St Ne, Ste 180, Salem, OR 97301-8388 | 2007-08-28 |
| 1932310216 | Alyce M. Huntsinger | Nurse Practitioner | 2480 Liberty St Ne, Suite 180, Salem, OR 97301-8380 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077954 | Liberty Spine & Pain Center, P.C. | Pain Medicine | 350 Miller St Se, Salem, OR 97302-4272 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164942611 | Mid-valley Healthcare, Inc. | Pain Medicine | 5234 Sw Philomath Blvd Ste C, Corvallis, OR 97333-1042 | 2017-06-26 |
| 1093269995 | Center for Regenerative Orthopedic Medicine, PC | Pain Medicine | 786 State St, Medford, OR 97504-8441 | 2016-08-09 |
| 1649420548 | Pacific Pain Management PC | Pain Medicine | 6542 Se Lake Rd Ste 202, Milwaukie, OR 97222-2245 | 2008-09-26 |
| 1336265107 | Laura M Scobie | Pain Medicine | 1010 Tenth St, Hood River, OR 97031 | 2007-03-22 |
| 1427188309 | Patrick Rask | Pain Medicine | 2364 Main St, Suite A, Philomath, OR 97370-9488 | 2007-03-07 |
| 1831125616 | Joseph S Dunn | Pain Medicine | 74b Centennial Loop Ste 100, Eugene, OR 97401-7919 | 2006-06-24 |
| 1912940396 | Mid-valley Healthcare Inc | Pain Medicine | 100 Mullins Dr Ste C, Lebanon, OR 97355-3982 | 2006-06-14 |
| 1063418333 | Vladimir B. Fiks | Pain Medicine | 10305 Sw Park Way, Ste 300, Portland, OR 97225-5033 | 2005-06-22 |
| 1881186336 | Pacific Sports and Interventional Spine, LLC | Pain Medicine | 74b Centennial Loop Ste 100, Eugene, OR 97401-7919 | 2018-05-31 |
| 1861900516 | Cornell Pain Clinic LLC | Pain Medicine | 15455 Nw Greenbrier Pkwy Ste 130, Beaverton, OR 97006 | 2018-01-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.