Organization Active NPI

Northwest Human Services, Inc.

Doing business as Mobile Medical Unit 1

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
National Provider Identifier
1306753090
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTHWEST HUMAN SERVICES, INC.
Doing business as
Mobile Medical Unit 1
Practice address
1233 Edgewater St NW
Salem, OR 97304-4049
Phone
(503) 378-7526
Fax
(503) 480-1611
NPI assigned
Aug 26, 2026
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST HUMAN SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Kimberly Leathley
Title
Ceo
Phone
(503) 588-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1233 Edgewater St NW
Salem, OR 97304-4049

Mailing address

681 Center St NE
Salem, OR 97301-3722
Phone (503) 588-5828

Other names 1

  • Mobile Medical Unit 1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Human SVCS DB6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

681 Center St NE
Salem, OR 97301
Phone (503) 588-5828

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1306753090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013722",
            "telephone_number": "503-588-5828",
            "fax_number": "503-588-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-378-7526",
            "fax_number": "503-480-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HUMAN SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST HUMAN SERVICES, INC.",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "LEATHLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-588-5828"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Medical Unit 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 2026; 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.