Organization Active NPI

Valerie Coon MD LLC

  • Specialist
  • Salem, OR
National Provider Identifier
1366706616
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD157733 Issued in OR
Legal business name
VALERIE COON MD LLC
Practice address
1344 Liberty St SE
Salem, OR 97302-4283
Phone
(503) 581-5517
Fax
(503) 581-6341
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Mrs. Debra Ann Collada
Title
Office Manager
Phone
(503) 581-5517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD157733 OR Primary

Addresses

Primary practice location

1344 Liberty St SE
Salem, OR 97302-4283

Mailing address

1344 Liberty St SE
Salem, OR 97302-4283
Phone (503) 581-5517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1366706616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024283",
            "telephone_number": "503-581-5517",
            "fax_number": "503-581-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024283",
            "telephone_number": "503-581-5517",
            "fax_number": "503-581-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE COON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "COLLADA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-581-5517",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD157733",
            "primary": true
        }
    ],
    "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 Jun 10, 2013; 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.