Jefferson T Loa (NPI# 1336304773, PAC ID# 7416122775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1336304773 |
| PAC ID by PECOS | 7416122775 |
| Professional Enrollment ID | I20160816002714 |
| Full Name | Jefferson T Loa |
| Organization Legal Name | SALEM HEALTH WEST VALLEY |
| Address |
550 Se Clay St Dallas OR 97338-2813 |
| Phone Number | 5036238301 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7810804630 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380051 | SALEM HOSPITAL |
| 381308 | WEST VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 525 Se Washington St, Dallas, OR 97338-2834 | 5036238301 | SALEM HEALTH WEST VALLEY |
| 550 Se Clay St, Dallas, OR 97338-2813 | 5036238301 | SALEM HEALTH WEST VALLEY |
| 890 Oak St Se, Salem, OR 97301-3905 | 5035615200 | SALEM HEALTH |
| Organization Legal Name | SALEM HEALTH WEST VALLEY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenton Rance Orr | Nurse Practitioner | Salem Health West Valley | 525 Se Washington St, Dallas, OR 97338-2834 |
| Sarah Callaway | Nurse Practitioner | Salem Health West Valley | 525 Se Washington St, Dallas, OR 97338-2834 |
| Charles P Essex | Family Practice | Salem Health West Valley | 550 Se Clay St, Dallas, OR 97338-2813 |
| John Hadley | Family Practice | Salem Health West Valley | 550 Se Clay St, Dallas, OR 97338-2813 |
| Street Address |
550 SE CLAY ST |
| City | DALLAS |
| State | OR |
| Zip | 97338-2813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles P Essex | Family Practice | Salem Health West Valley | 550 Se Clay St, Dallas, OR 97338-2813 |
| John Hadley | Family Practice | Salem Health West Valley | 550 Se Clay St, Dallas, OR 97338-2813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Holton Jr. | Chiropractic | 289 E Ellendale Ave, Suite 102, Dallas, OR 97338-1500 | |
| Brent M Darrington | Physical Therapy | 289 E Ellendale Ave, Suite 101, Dallas, OR 97338-1500 | |
| Jeremy Gaylon Waldie | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Daniel A Lowery | Physician Assistant | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Hal A Mitchell | Family Practice | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Janet A Matthews | Nurse Practitioner | Emurgent Care LLC | 109 E Ellendale Ave B, Dallas, OR 97338-1509 |
| Eric M Drake | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Ryan M Delcambre | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Nate M Paredes | Physical Therapy | Pinnacle Physical Therapy PC | 210 W Ellendale Ave, Suite 100, Dallas, OR 97338-1710 |
| Kristin Marie Trevor | Nurse Practitioner | Emurgent Care LLC | 109 B E Ellendale Ave, Dallas, OR 97338-1794 |
| Find all physicians in zip 97338 | |||
| City | DALLAS |
| Zip Code | 97338 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DALLAS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jefferson T Loa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.