SALEM HEALTH PROFESSIONAL SERVICES (NPI# 1285774257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285774257 |
| Entity Type | Organization |
| Organization Name | SALEM HEALTH PROFESSIONAL SERVICES |
| Other Organization Name | WILLAMETTE VALLEY PROFESSIONAL SERVICES |
| Practice Address |
665 Winter St Se Salem OR 97301-3919 |
| Mailing Address |
Po Box 5969 Portland OR 97228-5969 |
| Practice Telephone | 5035612490 |
| Practice Fax Number | 5035612745 |
| Mailing Telephone | 5035612490 |
| Mailing Fax Number | 5035612745 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | REID SUND (CONTROLLER) |
| Authorized Official Telephone | 5038141938 |
| Is Organization Subpart | Y |
| Parent Organization Name | SALEM HEALTH HOSPITALS & CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 213042 | 05 |
| Other Name | Type Code |
|---|---|
| Willamette Valley Professional Services | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SALEM HEALTH PROFESSIONAL SERVICES | 890 Oak St Se, Salem, OR 97301 |
| Street Address |
665 WINTER ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372407 | Raghunandan Kamineni | Internal Medicine | 665 Winter St Se, Suite B0350, Salem, OR 97301-3934 | 2005-08-02 |
| 1356842207 | Emily Stahl Mollenkopf | Registered Nurse | 665 Winter St Se, Salem, OR 97301-3934 | 2018-02-26 |
| 1083166037 | Courtney E Brozovich | Physician Assistant | 665 Winter St Se, Salem, OR 97301-3934 | 2016-10-25 |
| 1215304092 | Caroline Houston | Pharmacist | 665 Winter St Se, Salem, OR 97301-3934 | 2015-08-27 |
| 1982008983 | Julian Mark Williams | Perfusionist | 665 Winter St Se, Salem, OR 97301-3934 | 2014-10-20 |
| 1366861775 | Andrew W Judd | Pathology | 665 Winter St Se, Bldg B 2nd Floor Pathology, Salem, OR 97301-3934 | 2014-04-14 |
| 1215215371 | Atish Chopra | Surgery | 665 Winter St Se, Salem, OR 97301-3934 | 2011-07-23 |
| 1003106071 | Jeffrey David Crawford | Surgery | 665 Winter St Se, Salem, OR 97301-3934 | 2011-04-12 |
| 1528357795 | Mariko Aili Ferronato | Surgery | 665 Winter St Se, Salem, OR 97301-3934 | 2011-03-28 |
| 1174848162 | Trang Nguyen Moore | Internal Medicine | 665 Winter St Se, Salem, OR 97301-3934 | 2010-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750622049 | Inova Fairfax Hospital | General Acute Care Hospital | 2150 Stone Mill Dr, Salem, VA 24153-4667 | 2013-03-11 |
| 1235483199 | Kaiser Sunnyside Medical Center | General Acute Care Hospital | 3480 Mock Orange Ct S, Salem, OR 97302-3647 | 2012-10-30 |
| 1487660288 | Harminder Pal Singh Bajaj | General Acute Care Hospital | 1970-roanoke Blvd., Va Medical Center, Salem, VA 24153 | 2006-08-01 |
| 1639131535 | Salem Community Hospital | General Acute Care Hospital | 1995 East State Street, Salem, OH 44460 | 2006-04-05 |
| 1700351947 | Salem County Hospital Corp. | General Acute Care Hospital | 310 Woodstown Road, Salem, NJ 08079-2064 | 2018-10-03 |
| 1609325547 | Prime Healthcare Foundation - Salem Hospital LLC | General Acute Care Hospital | 310 Woodstown Rd, Salem, NJ 08079-2064 | 2016-10-03 |
| 1003270992 | Northstar Anesthesia | General Acute Care Hospital | 1995 E State St, Salem, OH 44460-2423 | 2016-04-07 |
| 1376961771 | Kyle Pearson | General Acute Care Hospital | 890 Oak St Se, Salem, OR 97301-3905 | 2014-04-02 |
| 1568771616 | North Shore Medical Center | General Acute Care Hospital | 81 Highland Ave, Palliative Care Dept, Salem, MA 01970-2714 | 2010-10-06 |
| 1710122197 | Qiaoxin Yang | General Acute Care Hospital | 81 Highland Ave, Department of Medicine, Salem, MA 01970-2714 | 2008-12-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.