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OREGON HEART CENTER PC NPI 1902138969


NPI Information

NPI: 1902138969
Provider Name: OREGON HEART CENTER PC

Former Legal Business Name: SALEM HEART CENTER PC

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 38D2008355

Address:
610 HAWTHORNE AVE SE STE 110
SALEM, OR
ZIP 97301
Phone: (503) 814-4440
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OREGON HEART CENTER PC is a cardiovascular disease internal medicine in Salem, OR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. OREGON HEART CENTER PC NPI is 1902138969. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Salem Heart Center Pc.

The provider's business location address is:

610 HAWTHORNE AVE SE STE 110
SALEM, OR
ZIP 97301
Phone: (503) 814-4440
Fax: (503) 814-4444

The provider's authorized official is Kim Ludwick .
The authorized official title is Administrator and has the following contact phone number (503) 561-7171.

The CLIA number assigned to this NPI record is 38D2008355 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2010 and was last updated on 7/11/2018.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1R152591OTHEROREGONMEDICARE
2500618815MEDICAIDOREGON

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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