Provider Type Icon

NORTHWEST HUMAN SERVICES INC. NPI 1194082867


NPI Information

NPI: 1194082867
Provider Name: NORTHWEST HUMAN SERVICES, INC.

Doing Business As: WEST SALEM CLINIC MENTAL HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1245 EDGEWATER ST NW
SALEM, OR
ZIP 97304
Phone: (503) 588-5816
Get Directions

NORTHWEST HUMAN SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Salem, OR. NORTHWEST HUMAN SERVICES, INC. NPI is 1194082867. The provider is registered as an organization entity type.
The provider Is Doing Business As West Salem Clinic Mental Health.

The provider's business location address is:

1245 EDGEWATER ST NW
SALEM, OR
ZIP 97304-049
Phone: (503) 588-5816
Fax: (503) 588-5803

The provider's authorized official is Paul Logan .
The authorized official title is Chief Executive Officer and has the following contact phone number (503) 588-5831.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 7/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1381930MEDICARE OSCAR/CERTIFICATIONOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.