Organization Active NPI

Pure Health Medical Clinic

  • Naturopath
  • Salem, OR
National Provider Identifier
1225861420
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
PURE HEALTH MEDICAL CLINIC
Practice address
631 Jason St NE
Salem, OR 97301-2357
Phone
(971) 273-0084
Fax
(971) 925-2351
NPI assigned
Aug 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Matt West, ND
Title
PCP
Phone
(971) 273-0084

Specialties & licenses 1

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

Addresses

Primary practice location

631 Jason St NE
Salem, OR 97301-2357

Mailing address

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

Other names 2

  • Salem Chiropractic and Wellness Former legal business name
  • Pure Health Medical Clinic Other name

National Provider Directory

National Provider Directory

Locations

631 Jason St NE
Salem, OR 97301
Phone (971) 273-0042

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1225861420",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "971-273-0084",
            "fax_number": "971-925-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PCP",
        "authorized_official_telephone_number": "971-273-0084",
        "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": [
        {
            "organization_name": "Salem Chiropractic and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Pure Health Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2024; 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.