Clinica Medical Nuestra Senora de Guadalupe

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLINICA MEDICAL NUESTRA SENORA DE GUADALUPE

Practice address

1495 Liberty St NE
Salem, OR 97301-6431

Phone

(503) 364-5818

Fax

(503) 364-2484

NPI assigned

Mar 9, 2009

Organization subpart

No

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

Authorized official

Name

Vickie Lattimer

Title

Clinic Administrator

Phone

(503) 364-5818

Specialties & licenses 1

Addresses

Other names 1

• Guadalupe Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laika Rodriguez, ND

  • Naturopath
  • Salem, OR
  • NPI 1427176155
  NPD (past)

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1457592271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973016431",
            "telephone_number": "503-364-5818",
            "fax_number": "503-364-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973016431",
            "telephone_number": "503-364-5818",
            "fax_number": "503-364-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICAL NUESTRA SENORA DE GUADALUPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "LATTIMER",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "503-364-5818"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guadalupe Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Tre Cline Jr., LMT.
• Michelle Cline
• Tatiana Dore Cline, CADC-R
• Theresa Clinebell
• Clinic of Natural Medicine and Research LLC
• Clinicops, LLC
• Lauren Joann Clinton, AU. D.
• Beth Renay Cloos, NP
• Robert Clore, CADC II, NCAC I
• Alyssa Close, MA, LPC

• Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.