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SALEM WOMENS CLINIC INC NPI 1760415202


NPI Information

NPI: 1760415202
Provider Name: SALEM WOMENS CLINIC, INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 38D0867962

Address:
1395 LIBERTY ST SE
SALEM, OR
ZIP 97302
Phone: (503) 399-2444
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SALEM WOMENS CLINIC, INC is an obstetrics gynecology in Salem, OR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SALEM WOMENS CLINIC, INC NPI is 1760415202. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1395 LIBERTY ST SE
SALEM, OR
ZIP 97302-276
Phone: (503) 399-2444
Fax: (503) 581-3960

The provider's authorized official is Elizebeth R. Harmon .
The authorized official title is Owner and has the following contact phone number (503) 399-2444.

The CLIA number assigned to this NPI record is 38D0867962 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 10/1/2012.


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
1363LW0102XNurse PractitionerWomen's HealthOREGONNo
2367A00000XAdvanced Practice MidwifeOREGONNo
3364SF0001XClinical Nurse SpecialistFamily HealthOREGONNo
4207V00000XObstetrics & GynecologyYes

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
1286300MEDICAIDOREGON
20000WCNGHMEDICARE PINOREGON
3W20533MEDICARE UPINOREGON

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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