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PREMIER ENDOCRINOLOGY ASSOCIATES LLC NPI 1376925719


NPI Information

NPI: 1376925719
Provider Name: PREMIER ENDOCRINOLOGY ASSOCIATES, LLC

Doing Business As: PREMIER ENDOCRINOLOGY ASSOCIATES

Classification:
Entity Type: Organization
Address:
960 LIBERTY STREET SE SUITE 170
SALEM, OR
ZIP 97302
Phone: (503) 967-4240
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PREMIER ENDOCRINOLOGY ASSOCIATES, LLC is a healthcare provider in Salem, OR. PREMIER ENDOCRINOLOGY ASSOCIATES, LLC NPI is 1376925719. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Premier Endocrinology Associates.

The provider's business location address is:

960 LIBERTY STREET SE SUITE 170
SALEM, OR
ZIP 97302
Phone: (503) 967-4240
Fax: (503) 339-9546

The provider's authorized official is Leticia M. Loarca .
The authorized official title is Office Manager and has the following contact phone number (503) 967-4240.

The enumeration date for this NPI number is 6/22/2015 and was last updated on 7/21/2022.


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
1133V00000XDietitian, RegisteredLD-D-000451OREGONNo
2163WD0400XRegistered NurseDiabetes EducatorLD-D-000451OREGONNo

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
126956MEDICAIDOREGON

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: 5/5/2024
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