VIDA FAMILY MEDICINE NPI 1184086209

NPI Information

NPI: 1184086209
Provider Name: VIDA FAMILY MEDICINE

Doing Business As: VIDA INTEGRATIVE MEDICINE & MENTAL HEALTH

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
374 OWENS ST SE
SALEM, OR
ZIP 97302
Phone: (503) 399-1400
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VIDA FAMILY MEDICINE is a psychiatric/mental health nurse practitioner in Salem, OR. VIDA FAMILY MEDICINE NPI is 1184086209. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vida Integrative Medicine & Mental Health.

The provider's business location address is:

374 OWENS ST SE
SALEM, OR
ZIP 97302-183
Phone: (503) 399-1400
Fax: (503) 399-1406

The provider's authorized official is Teri Litke .
The authorized official title is Administrator and has the following contact phone number (503) 399-1400.

The enumeration date for this NPI number is 3/28/2016 and was last updated on 4/11/2022.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	07-12-12	OREGON	No
2	104100000X	Social Worker		L6901	OREGON	No
3	106H00000X	Marriage & Family Therapist		T0986	OREGON	No
4	106H00000X	Marriage & Family Therapist		T0889	OREGON	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201402104-NP-PP	OREGON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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