SALEM CLINIC, PC – NPI #1992973622
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

SALEM CLINIC, PC is a provider located in KEIZER, OR. NPPES has assigned the NPI number 1992973622 to SALEM CLINIC, PC on February 15, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 10 years ago on Dec 06, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SALEM CLINIC, PC below.

NPI Profile for
SALEM CLINIC, PC

NPI Number
1992973622
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SALEM CLINIC, PC
Primary location
5900 INLAND SHORES WAY N
KEIZER, OR 97303-3795
Phone: (503) 399-2424 Fax:
Mailing address
PO BOX 8100
SALEM, OR 97303-0900
Phone: (503) 399-2424 Fax:
Organization Subpart
No
Authorized Official
BARBARA GUNDER
ADMINISTRATOR/CAO
Phone: (503) 399-2470
Updated
Identifiers

Identifiers for SALEM CLINIC, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANORR0000WCJWK
OTHERRAILROAD MEDICARE NO.ORCS4159
MEDICAIDOR500400276
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.