Active NPI
Sacred Salmon Community Midwifery, LLC
- Midwife
- McMinnville, OR
National Provider Identifier
1164313516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Legal business name
- SACRED SALMON COMMUNITY MIDWIFERY, LLC
- Practice address
- 309 SE Dayton Ave
McMinnville, OR 97128-6217 - Phone
- (971) 241-2085
- Fax
- (971) 901-3090
- NPI assigned
- Jul 14, 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
- Jessica N Johnson, CPM, LDM
- Title
- Owner, Primary Midwife
- Phone
- (971) 241-2085
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | Primary |
Addresses
Primary practice location
309 SE Dayton Ave
McMinnville, OR 97128-6217
Mailing address
309 SE Dayton Ave
McMinnville, OR 97128-6217
Phone (971) 241-2085
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- McMinnville, OR
- NPI 1932956158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1164313516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 SE DAYTON AVE",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971286217",
"telephone_number": "971-241-2085",
"fax_number": "971-901-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 SE DAYTON AVE",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971286217",
"telephone_number": "971-241-2085",
"fax_number": "971-901-3090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED SALMON COMMUNITY MIDWIFERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER, PRIMARY MIDWIFE",
"authorized_official_telephone_number": "971-241-2085",
"authorized_official_credential": "CPM, LDM"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.