NEW LIFE FAMILY MEDICINE LLC NPI 1588113278

NPI Information

NPI: 1588113278
Provider Name: NEW LIFE FAMILY MEDICINE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
842 COMMERCIAL STREET NE
SALEM, OR
ZIP 97302
Phone: (503) 586-8291
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NEW LIFE FAMILY MEDICINE LLC is a primary care clinic center in Salem, OR. NEW LIFE FAMILY MEDICINE LLC NPI is 1588113278. The provider is registered as an organization entity type.

The provider's business location address is:

842 COMMERCIAL STREET NE
SALEM, OR
ZIP 97302
Phone: (503) 586-8291

The provider's authorized official is Linda C Bird .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (503) 586-8291.

The enumeration date for this NPI number is 9/23/2016 and was last updated on 1/26/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	099006422N1	OREGON	Yes
2	261QP2300X	Clinic/Center	Primary Care	099006422RN	OREGON	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S31385	MEDICARE UPIN	OREGON
2	210764	MEDICAID	OREGON
3	116907	OTHER	OREGON	MEDICARE ID

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

NPI Synchronization or Removal

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