SALEM CLINIC, PC (NPI# 1538337266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538337266 |
| Entity Type | Organization |
| Organization Name | SALEM CLINIC, PC |
| Practice Address |
1165 Union St Ne Salem OR 97301-4693 |
| Mailing Address |
Po Box 8100 Salem OR 97303-0900 |
| Practice Telephone | 5033992424 |
| Mailing Telephone | 5033992424 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | MS. BARBARA GUNDER (ADMINISTRATOR/CAO) |
| Authorized Official Telephone | 5033992470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 179051 | 05 | |
| OR | RAILROAD MEDICARE GROUP NO. | CS4159 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1962781526 | Salem Clinic, PC | General Practice | 1174 Cornucopia St Nw Ste 120, Salem, OR 97304-3193 | 2011-08-12 |
| 1992973622 | Salem Clinic, PC | General Practice | 5900 Inland Shores Way N, Keizer, OR 97303-3795 | 2008-02-15 |
| 1912935594 | Salem Clinic, PC | General Practice | 2020 Capitol St Ne, Salem, OR 97303-3244 | 2006-06-30 |
| Street Address |
1165 UNION ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033190830 | Esther Eugenia Brown | Nurse Practitioner | 1165 Union St Ne, Salem, OR 97301-4693 | 2005-11-08 |
| 1053778910 | Juan Luis Castillo | Nurse Practitioner | 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 | 2016-01-24 |
| 1871535625 | Jane-frances Ifeoma Akpamgbo | Family Medicine | 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 | 2006-06-12 |
| 1558302307 | Raymond M Baculi | Family Medicine | 1165 Union St Ne, Salem, OR 97301-4693 | 2006-06-10 |
| 1932149754 | Julie Slind Hull | Family Medicine | 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 | 2006-06-08 |
| 1184684490 | Angela Mae Carroll | Social Worker | 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 | 2006-03-23 |
| 1770561938 | Lillian S. Iwatsuki | Pediatrics | 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 | 2006-01-06 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821342429 | Stephanie Nicole Reedy | General Practice | 2515 Liberty St Ne, Salem, OR 97301-8386 | 2012-11-04 |
| 1427207265 | John M Vargo | General Practice | 4305 Camas Ct Ne, Salem, OR 97305-2207 | 2008-09-17 |
| 1275797417 | Lagrand Johnson | General Practice | 326 Highway 6, Salem, UT 84653-5620 | 2008-07-16 |
| 1235392242 | John Mark Pozar | General Practice | 998 Capitol St Ne, Salem, OR 97301-1201 | 2008-07-09 |
| 1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
| 1104028364 | Ivan Dassenko | General Practice | 6810 Canyon St Se, Salem, OR 97317-9024 | 2007-06-01 |
| 1073668935 | Terence H Young | General Practice | 1205 Wallace Rd Nw, Salem, OR 97304-3007 | 2007-01-23 |
| 1639243348 | Thomas R Howard | General Practice | 567 Salem Quinton Rd, Ste C, Salem, NJ 08079-1255 | 2006-11-17 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1316456965 | Anton Dubrick Md Sc | General Practice | 420 W Schwartz St, Salem, IL 62881-1552 | 2017-09-27 |
| Find all providers in SALEM | ||||
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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.