NPIMap

Organization Active NPI

Breathe Easy With Jenn, PC

  • Health Service Clinic/Center
  • Salem, OR
National Provider Identifier
1235674136
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
RT-P-10135828 Issued in OR
Legal business name
BREATHE EASY WITH JENN, PC
Practice address
3000 Market St NE Ste 541
Salem, OR 97301-1835
Phone
(971) 301-8309
Fax
(971) 301-8310
NPI assigned
Dec 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Jennifer Lynn Baldwin, RRT
Title
Chief Operating Officer
Phone
(971) 301-8309

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X RT-P-10135828 OR Primary
Multi-Specialty Clinic/Center 261QM1300X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X RT-P-10135828 OR
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

3000 Market St NE Ste 541
Salem, OR 97301-1835

Mailing address

3000 Market St NE Ste 541
Salem, OR 97301-1835
Phone (971) 301-8309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1235674136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 541",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011835",
            "telephone_number": "971-301-8309",
            "fax_number": "971-301-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 541",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011835",
            "telephone_number": "971-301-8309",
            "fax_number": "971-301-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE EASY WITH JENN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "971-301-8309",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "RT-P-10135828",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "OR",
            "license": "RT-P-10135828",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 26, 2018; 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.