SALEM WELLNESS CLINIC


Address: 1395 Liberty St Se, Salem, OR 97302-4276
Phone: 5033992444

SALEM WELLNESS CLINIC (NPI# 1801230776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801230776
Entity Type Organization
Organization Name SALEM WELLNESS CLINIC
Other Organization Name SALEM WOMEN'S CLINIC, INC
Practice Address 1395 Liberty St Se
Salem
OR 97302-4276
Practice Telephone 5033992444
Practice Fax Number 5035813960
Mailing Telephone 5033992444
Mailing Fax Number 5035813960
Enumeration Date 2013-04-23
Last Update Date 2013-04-25
Authorized Official Name MR. IBRAHIM ELDESOUKI (CFO)
Authorized Official Telephone 5033992444
Is Organization Subpart Y
Parent Organization Name SALEM WOMEN'S CLINIC, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 286300 05

Other Provider/Organization Names

Other Name Type Code
Salem Women's Clinic, Inc Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names SALEM WELLNESS CLINIC 1395 Liberty St Se, Salem, OR 97302

Office Location

Street Address 1395 LIBERTY ST SE
City SALEM
State OR
Zip Code 97302-4276

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760415202 Salem Womens Clinic, Inc Nurse Practitioner 1395 Liberty St Se, Salem, OR 97302-4276 2006-07-08
1134616022 Brms LLC Naturopath 1395 Liberty St Se, Salem, OR 97302-4276 2018-04-17
1114292034 Deborah M Johnson Md PC Clinic/Center 1395 Liberty St Se, Salem, OR 97302-4276 2012-03-09
1194911032 Donna Jean Niemela Nurse Practitioner 1395 Liberty St Se, Salem, OR 97302-4276 2007-09-24
1053494294 Deborah M Johnson Obstetrics & Gynecology 1395 Liberty St Se, Salem, OR 97302-4276 2006-10-23
1881618163 Mary L. Henderson Nurse Practitioner 1395 Liberty St Se, Salem, OR 97302-4273 2006-07-27
1316971955 Patricia M. Mcbride Nurse Practitioner 1395 Liberty St Se, Salem, OR 97302-4273 2006-07-10
1487688396 Elizebeth R. Harmon Obstetrics & Gynecology 1395 Liberty St Se, Salem, OR 97302-4276 2006-07-10
1588698187 Katherine Ellen S. Davidson Nurse Practitioner 1395 Liberty St Se, Salem, OR 97302-4276 2006-07-10

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578112025 Dorothy Lee Jordan Nurse Practitioner 10a Loren Rd, Salem, NH 03079-3127 2019-09-07
1508484528 Lisa M Harrison Nurse Practitioner 1970 Roanoke Blvd, Salem, VA 24153-6404 2020-07-07
1982154142 Francesca Anna Carmone Nurse Practitioner 400 Highland Ave, Salem, MA 01970-7003 2016-10-11
1720537814 Bradley K Busey II Nurse Practitioner 1095 Liberty St Ne, Salem, OR 97301-1137 2016-09-29
1518320555 Complete Care of South Jersey Nurse Practitioner 310 Route 45, Salem, NJ 08079-2064 2016-03-29
1215305982 Evercare Medical Associates Nurse Practitioner 59 Stiles Rd, Suite 104, Salem, NH 03079-2885 2015-09-10
1902822661 Deborah B Dutton Nurse Practitioner 141 Hospital Dr, Salem, KY 42078-8043 2006-07-14
1790741668 Martha Emily Lacy Nurse Practitioner 1970 Roanoke Blvd, Salem, VA 24153-6404 2006-04-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154956233 Ellen Faye Barlow Nurse Practitioner 506 Fourth St., La Grande, OR 97850 2020-03-09
1225698889 Agewell Geriatrics, LLC Nurse Practitioner 13120 Sw Heather Ct, Beaverton, OR 97008-5612 2019-06-17
1760960462 Sid Christian Keomanivong Nurse Practitioner 2677 Beall Ln, Central Point, OR 97502-1462 2018-08-03
1245611771 Karen Musick Nurse Practitioner 3514 Nw Mckinley Dr, Corvallis, OR 97330-1148 2015-06-10
1184054546 Nancy M Burgess Rn Msn Anp-c PC Nurse Practitioner 910 Sw Highway 97 Ste 104, Madras, OR 97741-9247 2013-11-22
1518391804 Sally Elizabeth Kraynik Nurse Practitioner 1895 E Main St, Hillsboro, OR 97123-4345 2013-08-22
1295998920 Paula Jo Cramer Nurse Practitioner 790 S Main St Myrtle, Creek, Ore, Myrtle Creek, OR 97457 2008-07-02
1780855601 Leslie West Nurse Practitioner 51730 Dexter St., Blue River, OR 97413-0183 2008-03-19
1548399322 Corporate Health Nw Nurse Practitioner 10209 Se Division St, Portland, OR 97266-1327 2007-03-05
1962540310 Laura Ann Shattuck Nurse Practitioner 21440 S Upper Highland Rd, Beavercreek, OR 97004-8814 2007-02-01
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Competitor

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City SALEM
Zip Code 97302

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Dataset Information

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.

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