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P3 HEALTH PARTNERS-OREGON LLC NPI 1831708916


NPI Information

NPI: 1831708916
Provider Name: P3 HEALTH PARTNERS-OREGON LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D2215466

Address:
2525 12TH ST SE STE 240250
SALEM, OR
ZIP 97302
Phone: (971) 701-9058
Get Directions

P3 HEALTH PARTNERS-OREGON LLC is a family medicine in Salem, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. P3 HEALTH PARTNERS-OREGON LLC NPI is 1831708916. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2525 12TH ST SE STE 240250
SALEM, OR
ZIP 97302-281
Phone: (971) 701-9058

The provider's authorized official is Amir Bacchus .
The authorized official title is Cmo and has the following contact phone number (702) 910-3950.

The CLIA number assigned to this NPI record is 38D2215466 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 7/24/2020.


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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3208D00000XGeneral PracticeNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo

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
1PENDINGMEDICAIDOREGON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.