Active NPI
Melissa Joy Salazar, PAC
- Physician Assistant
- Springfield, OR
National Provider Identifier
1366484602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA157434
- Practice address
- 445 Harlow Rd
Springfield, OR 97477-1346 - Phone
- (360) 733-0430
- Fax
- (541) 334-7560
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA157434 | OR | Primary |
Addresses
Primary practice location
445 Harlow Rd
Springfield, OR 97477-1346
Mailing address
445 Harlow Rd
Springfield, OR 97477-1346
Phone (360) 733-0430
Other names 1
- Melissa Joy Bilderback
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1366484602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 HARLOW RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771346",
"telephone_number": "360-733-0430",
"fax_number": "541-334-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 HARLOW RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771346",
"telephone_number": "360-733-0430",
"fax_number": "541-334-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "MELISSA",
"middle_name": "JOY",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA157434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "BILDERBACK",
"middle_name": "JOY",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.