Organization Active NPI

Purehealth Medical Clinic, Corp

  • Naturopath
  • Salem, OR
National Provider Identifier
1093525271
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
PUREHEALTH MEDICAL CLINIC, CORP
Practice address
631 Jason St NE Ste 100
Salem, OR 97301-2357
Phone
(971) 273-0084
Fax
(971) 925-5123
NPI assigned
Jan 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marc Simon, NDNPI 1447835087
Title
Physician
Phone
(917) 937-6083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

631 Jason St NE Ste 100
Salem, OR 97301-2357

Mailing address

631 Jason St NE
Salem, OR 97301-2357
Phone (971) 273-0084

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1093525271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "971-273-0084",
            "fax_number": "971-925-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "971-273-0084",
            "fax_number": "971-925-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREHEALTH MEDICAL CLINIC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-937-6083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "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 Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.