Active NPI
West Salem Family Practice Associates LLC
- Family Medicine Physician
- Salem, OR
National Provider Identifier
1003817826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WEST SALEM FAMILY PRACTICE ASSOCIATES LLC
- Practice address
- 1275 Wallace Rd NW
Salem, OR 97304-3007 - Phone
- (503) 371-3232
- Fax
- (503) 375-2398
- NPI assigned
- Aug 2, 2005
- Last updated
- Jul 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Lee Tinseth
- Title
- Administrator
- Phone
- (503) 763-6006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OR | Primary |
Addresses
Primary practice location
1275 Wallace Rd NW
Salem, OR 97304-3007
Mailing address
1275 Wallace Rd NW
Salem, OR 97304-3007
Phone (503) 371-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0625782 | West Salem Family Practice Associates | Provider-performed microscopy | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
1275 Wallace Rd NW
Salem, OR 97304
Phone (503) 371-0145
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Salem, OR
- NPI 1336450634
-
- Family Medicine Physician
- Salem, OR
- NPI 1194347609
-
- Primary Care Clinic/Center
- Salem, OR
- NPI 1073967857
-
- Family Medicine Physician
- Salem, OR
- NPI 1053311191
-
- Medical Physician Assistant
- Salem, OR
- NPI 1609279298
-
- Internal Medicine Physician
- Salem, OR
- NPI 1356342091
-
- Family Medicine Physician
- Salem, OR
- NPI 1245230382
-
- Family Nurse Practitioner
- Salem, OR
- NPI 1174374649
-
- Physician Assistant
- West Linn, OR
- NPI 1902310667
-
- Medical Physician Assistant
- Tualatin, OR
- NPI 1720484850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1003817826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 WALLACE RD NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973043007",
"telephone_number": "503-371-3232",
"fax_number": "503-375-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 WALLACE RD NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973043007",
"telephone_number": "503-371-3232",
"fax_number": "503-375-2398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST SALEM FAMILY PRACTICE ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A",
"authorized_official_last_name": "TINSETH",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "503-763-6006",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.