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
- 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286761 | Medicaid | OR |
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 DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286761",
"state": "OR"
}
],
"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.