SALEM TRAVEL CLINIC, LLC (NPI# 1639503253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639503253 |
| Entity Type | Organization |
| Organization Name | SALEM TRAVEL CLINIC, LLC |
| Other Organization Name | SALEM TRAVEL CLINIC |
| Practice Address |
2720 Commercial St Se Suite 201 Salem OR 97302-4495 |
| Practice Telephone | 5035409999 |
| Practice Fax Number | 5035403105 |
| Mailing Telephone | 5035409999 |
| Mailing Fax Number | 5035403105 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |
| Authorized Official Name | JOHN C GIROD (OWNER-MEMBER) |
| Authorized Official Telephone | 5035409999 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MD12930 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Salem Travel Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SALEM TRAVEL CLINIC, LLC | 2720 Commercial Street Se, Suite 101, Salem, OR 97302 |
| Street Address |
2720 COMMERCIAL ST SE SUITE 201 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518996198 | Namrata Ragade | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2006-07-03 |
| 1609279298 | Amy Marie Hernandez | Physician Assistant | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2014-09-26 |
| 1639403330 | Cascade Infectious Diseases and Infusion LLC | Clinic/Center | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2009-09-28 |
| 1558596916 | Jasmin Chaudhary | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2009-05-28 |
| 1427131135 | Daniel J Campbell | Podiatrist | 2720 Commercial St Se, Ste 201, Salem, OR 97302-4495 | 2006-10-24 |
| 1568546794 | John C Girod | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2006-10-24 |
| 1518041763 | Eliza Oh | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2006-10-24 |
| 1710067988 | Enoch D Shaw | Orthopaedic Surgery | 2720 Commercial St Se, Ste 201, Salem, OR 97302-4495 | 2006-10-16 |
| 1689760472 | Richard De Quiroz Basilan | Internal Medicine | 2720 Commercial St Se, Suite #201, Salem, OR 97302-4495 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447400114 | High Five Chiropractic | Clinic/Center | 456 State Road 198, Salem, UT 84653-9187 | 2008-09-30 |
| 1649399486 | Womens Health Providers LLC | Clinic/Center | 330 Salem Woodstown Road, Suite#6, Salem, NJ 08079 | 2007-03-29 |
| 1336799808 | Cadence Health Service, LLC | Clinic/Center | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2019-09-17 |
| 1710407432 | Activate Healthcare - Salem Clinic | Clinic/Center | 201 Jeans Dr, Salem, IN 47167-9200 | 2017-06-23 |
| 1982092276 | Earth-moon Acupuncture, Inc. | Clinic/Center | 2365 Grear St Ne, Salem, OR 97301-2747 | 2015-01-08 |
| 1184999377 | Family Focus Eye Care LLC | Clinic/Center | 3400 State St Ste G770, Salem, OR 97301-7014 | 2012-03-20 |
| 1053603431 | Brianjrdustinandrew | Clinic/Center | 413 Salem Hancocks Bridge Rd, Salem, NJ 08079-9418 | 2011-05-04 |
| 1235454455 | Salem Brain & Spine, LLC | Clinic/Center | 700 Bellevue St Se, Suite 245, Salem, OR 97301-3819 | 2010-03-31 |
| 1053541938 | Cmcdonough Chiropractic, LLC | Clinic/Center | 358 Superior St Se, Suite 100, Salem, OR 97302-5170 | 2009-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225665623 | Onlinevisit LLC | Clinic/Center | 2024 Sw Howards Way Apt 501, Portland, OR 97201-7726 | 2020-03-25 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1801451737 | Cephus Chiropractic LLC | Clinic/Center | 19755 Sw Tv Hwy, Aloha, OR 97003-2338 | 2019-05-06 |
| 1467934661 | Columbia River Health-pendleton High School Sbhc | Clinic/Center | 1800 Nw Carden Ave, Pendleton, OR 97801-1185 | 2018-09-04 |
| 1639651839 | Columbia River Health-sunridge Middle School Sbhc | Clinic/Center | 700 Sw Runnion Ave, Pendleton, OR 97801-9418 | 2018-09-04 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1538681408 | Golden Ribbon Acupuncture, LLC | Clinic/Center | 1217 Ne Burnside Rd Ste 701, Gresham, OR 97030-5770 | 2017-07-12 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
| Find all providers with the same taxonomy | ||||
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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.