Mojabeng Phoofolo (NPI# 1063790392, PAC ID# 5092987784) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063790392 |
| PAC ID by PECOS | 5092987784 |
| Professional Enrollment ID | I20140606000256 |
| Full Name | Mojabeng Phoofolo |
| Organization Legal Name | SALEM HEALTH |
| Address |
890 Oak St Se Salem OR 97301-3905 |
| Phone Number | 5035615200 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8628986668 |
| Number of Group Practice Members | 169 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380051 | SALEM HOSPITAL |
| 380056 | SANTIAM HOSPITAL |
| 381308 | WEST VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 890 Oak St Se, Salem, OR 97301-3905 | 5035615200 | SALEM HEALTH |
| 890 Oak St Se, Suite 4000, Salem, OR 97301-3905 | 5038144048 | SALEM HEALTH |
| Organization Legal Name | SALEM HEALTH |
| Physicians | 157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey D Crawford | Vascular Surgery | Salem Health | 665 Winter St Se, Salem, OR 97301-3919 |
| Ryan Tateishi | Nurse Practitioner | Salem Health | 966 12th St Se, Suite 130, Salem, OR 97302-2860 |
| Leo Lin Kao | Internal Medicine | Salem Health | 550 Dietz Ave Ne, Keizer, OR 97303-4615 |
| Robert Allan Hiester | Nurse Practitioner | Salem Health | 1049 Edgewater St Nw, 150 Whp Family Medicine West Salem, Salem, OR 97304-4046 |
| Richard T Pardilla | Psychiatry | Salem Health | 1127 Oak St Se, Salem, OR 97301-4020 |
| Lindsey D. Mcquillan | Nurse Practitioner | Salem Health | 2561 Ctr St Ne, Salem, OR 97301-4600 |
| Monica Z Henderson | Nurse Practitioner | Salem Health | 105 Arney Rd, Suite 120, Woodburn, OR 97071-9472 |
| John R Hannig | Obstetrics/gynecology | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Jack Buchanan | Family Medicine | Salem Health | 1002 Bellevue St Se, Salem, OR 97301-4006 |
| Deona J Willis | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Street Address |
890 OAK ST SE |
| City | SALEM |
| State | OR |
| Zip | 97301-3905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob Adrian Vanderstarre | Emergency Medicine | Salem Emergency Physicians Service, PC | 890 Oak St Se, Bldg A, Salem, OR 97301-3905 |
| Deona J Willis | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Curtis B Gill | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Matthew S A Boles | Anesthesiology | Oregon Anesthesiology Group PC | 890 Oak St Se, Salem, OR 97301-3905 |
| Jacob M Nicholson | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Kerrie E Spicer | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Gabriela R Bradley | Nurse Practitioner | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Gregory L Craft | Anesthesiology | Oregon Anesthesiology Group PC | 890 Oak St Se, Salem, OR 97301-3905 |
| Courtney Elizabeth Brozovich | Physician Assistant | Salem Health | 890 Oak St Se, Salem, OR 97301-3905 |
| Steven James Mattison | Anesthesiology | Oregon Anesthesiology Group PC | 890 Oak St Se, Salem, OR 97301-3905 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Hannig | Obstetrics/gynecology | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Cheryl A Lugenbill | Obstetrics/gynecology | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Steven E Besing | Psychologist, Clinical | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Jaya N. Martin | Certified Nurse Midwife | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Avelino O Leal | Preventative Medicine | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Ashit G Patel | Cardiac Electrophysiology | Cascade Cardiology LLC | 777 Commercial St Se, Suite 130, Salem, OR 97301-0060 |
| Arjun K Chagarlamudi | Cardiovascular Disease (cardiology) | Cascade Cardiology LLC | 777 Commercial St Se, Suite 130, Salem, OR 97301-0060 |
| Sarah Frances Robbins | Nurse Practitioner | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Ryan William Huffman | Nurse Practitioner | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Sabine G Hyatt | Psychologist, Clinical | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Find all physicians in zip 97301 | |||
| City | SALEM |
| Zip Code | 97301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SALEM + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mojabeng Phoofolo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.