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SALEM RHEUMATOLOGY LLC NPI 1215218789


NPI Information

NPI: 1215218789
Provider Name: SALEM RHEUMATOLOGY, LLC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
960 LIBERTY ST SE STE 200
SALEM, OR
ZIP 97302
Phone: (503) 399-0652
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SALEM RHEUMATOLOGY, LLC is a rheumatology internal medicine in Salem, OR. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. SALEM RHEUMATOLOGY, LLC NPI is 1215218789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

960 LIBERTY ST SE STE 200
SALEM, OR
ZIP 97302-195
Phone: (503) 399-0652
Fax: (503) 373-3852

The provider's authorized official is Rebecca R Callis .
The authorized official title is Owner/physician and has the following contact phone number (503) 399-0652.

The enumeration date for this NPI number is 8/29/2011 and was last updated on 12/16/2011.


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
1207RR0500XInternal MedicineRheumatologyMD153975OREGONYes

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
1500635080MEDICAIDOREGON
2R161616MEDICARE PINOREGON

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

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