Provider Type Icon

PRIMARY CARE WEST P.C. NPI 1407854243


NPI Information

NPI: 1407854243
Provider Name: PRIMARY CARE WEST, P.C.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1255 WALLACE RD NW
SALEM, OR
ZIP 97304
Phone: (503) 362-1314
Get Directions

PRIMARY CARE WEST, P.C. is a clinic center in Salem, OR. The provider is 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). PRIMARY CARE WEST, P.C. NPI is 1407854243. The provider is registered as an organization entity type.

The provider's business location address is:

1255 WALLACE RD NW
SALEM, OR
ZIP 97304-007
Phone: (503) 362-1314

The provider's authorized official is Lori Leanne Hovenden .
The authorized official title is Office Manager and has the following contact phone number (503) 362-1314.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 10/21/2020.


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
1261Q00000XClinic/Center13749OREGONYes

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
1019179MEDICAIDOREGON
2278804MEDICAIDOREGON
3021159MEDICAIDOREGON

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.