SALEM CLINIC PC NPI 1538337266

NPI Information

NPI: 1538337266
Provider Name: SALEM CLINIC, PC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 38D0679715

Address:
1165 UNION ST NE
SALEM, OR
ZIP 97301
Phone: (503) 399-2424
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SALEM CLINIC, PC is a general practice in Salem, OR. SALEM CLINIC, PC NPI is 1538337266. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1165 UNION ST NE
SALEM, OR
ZIP 97301-693
Phone: (503) 399-2424

The provider's authorized official is Barbara Gunder .
The authorized official title is Administrator/cao and has the following contact phone number (503) 399-2470.

The CLIA number assigned to this NPI record is 38D0679715 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 12/6/2016.

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	208D00000X	General Practice				Yes

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	1228590003	MEDICARE NSC	OREGON
2	CS4159	OTHER	OREGON	RAILROAD MEDICARE GROUP NO.
3	179051	MEDICAID	OREGON

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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