PDH FAMILY MEDICAL, PC (NPI# 1609195528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609195528 |
| Entity Type | Organization |
| Organization Name | PDH FAMILY MEDICAL, PC |
| Practice Address |
608 Lancaster Dr Se Salem OR 97317-5643 |
| Mailing Address |
581 Lancaster Dr Se # 288 Salem OR 97317-5642 |
| Practice Telephone | 5033997474 |
| Practice Fax Number | 5033990679 |
| Mailing Telephone | 5033997474 |
| Mailing Fax Number | 5033990679 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | DR. PHYLLIS D HURSEY (PRESIDENT) |
| Authorized Official Telephone | 5033997474 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MD26240 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PDH FAMILY MEDICAL, PC | 130 Sw 2nd Ave, Ste 101, Canby, OR 97013 |
| Street Address |
608 LANCASTER DR SE |
| City | SALEM |
| State | OR |
| Zip Code | 97317-5643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871681577 | Oscar Manubag Quijano | Family Medicine | 608 Lancaster Dr Se, Salem, OR 97301-5643 | 2006-10-10 |
| 1700493608 | Ann Elizabeth Clark-delogu | Naturopath | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2020-09-25 |
| 1902416928 | Sheri L Aguilar | Counselor | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2020-08-04 |
| 1336799808 | Cadence Health Service, LLC | Clinic/Center | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2019-09-17 |
| 1053887109 | Patty J Kinion | Counselor | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2018-10-16 |
| 1356888929 | Jd Health and Wellness Center | Counselor | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2017-01-20 |
| 1013363910 | Jd Health and Wellness Center | Clinic/Center | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2016-05-10 |
| 1093176208 | Sarah Soric | Counselor | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2016-03-15 |
| 1689918161 | Jd Health and Wellness Center | Chiropractor | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2012-11-21 |
| 1518285915 | Pdh Family Medical Home, LLC | Family Medicine | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2010-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932996 | Corinna Leona Zib | Counselor | 4726 Appaloosa Ct Se, Salem, OR 97317 | 2017-06-13 |
| 1639537889 | Nikole Stormo | Massage Therapist | 4675 Campbell Dr Se Apt267, Salem, OR 97317 | 2016-02-03 |
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1235653569 | Alexis Panther | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317 | 2017-07-28 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1841410057 | Jennifer Krug | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317 | 2007-04-27 |
| 1649498262 | Carol Adams | Social Worker | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2007-04-20 |
| 1992114490 | Pathways - Child and Family Services - LLC | Community/Behavioral Health | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2014-08-08 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| Find all providers in zip 97317 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069300 | Ideal Option Pllc | Clinic/Center | 863 Liberty St Ne, Salem, OR 97301-2451 | 2019-08-21 |
| 1326589771 | Saint Moscati Community Health Care | Clinic/Center | 4131 Glendale Ave Ne, Salem, OR 97305-1913 | 2017-03-18 |
| 1275983660 | Salem Community Acupuncture Project | Clinic/Center | 2416 13th St Se, Salem, OR 97302-2546 | 2016-06-15 |
| 1619341633 | Hkd Treatment Options | Clinic/Center | 84 Highland Ave., Suite 305, Salem, MA 01970 | 2015-11-16 |
| 1770967325 | Dancing Crane Center of Chinese Medicine | Clinic/Center | 11 Library Sq, Salem, VA 24153-3846 | 2015-07-14 |
| 1831504968 | Wvp Medical Group, LLC | Clinic/Center | 2485 12th St. Se, Salem, OR 97302-0000 | 2014-06-27 |
| 1013210095 | Salem Occupational and Acute Care | Clinic/Center | 13 Red Roof Ln Ste 2, Salem, NH 03079-2983 | 2010-12-13 |
| 1336456516 | Salem Free Medical Clinic | Clinic/Center | 1300 Broadway St Ne Suite #104, Salem, OR 97301 | 2010-09-09 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1659524403 | Doctor's Diagnositcs, LLC | Clinic/Center | 322 Highway 62 W, Suite 2, Salem, AR 72576-9566 | 2008-10-24 |
| 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.