Organization Active NPI

Sacred Salmon Community Midwifery, LLC

  • Midwife
  • McMinnville, OR
National Provider Identifier
1164313516
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
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

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Jessica N Johnson, CPM, LDMNPI 1932956158
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)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.