NPIMap

Organization Active NPI

Salish Integrative Medicine, Inc

  • Medical Oncology Physician
  • Fife, WA
National Provider Identifier
1457740359
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
SALISH INTEGRATIVE MEDICINE, INC
Practice address
3700 Pacific Hwy E Ste 100
Fife, WA 98424-1160
Phone
(253) 382-6300
Fax
(253) 382-6301
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Stanlee S Lu, MDNPI 1205161700
Title
Medical Director
Phone
(253) 382-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X
Oncology PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835X0200X
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Oncology Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SX0200X

Addresses

Primary practice location

3700 Pacific Hwy E Ste 100
Fife, WA 98424-1160

Mailing address

3700 Pacific Hwy E Ste 100
Fife, WA 98424-1160
Phone (253) 382-6300

Other practice location 1

1802 Yakima Ave Ste 103
Tacoma, WA 98405-5303
Phone (253) 382-6300

Other identifiers 6

IdentifierTypeStateIssuer
2026972MedicaidWA
11509443OtherWACAQH
12546547OtherWACAQH
49566OtherWAPEN
13870286OtherWACAQH
9643818MedicaidWA

Other names 2

  • Salish Cancer Center Doing business as
  • Salish Integrative Cancer Care Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address admin@salish.OncoEMRDirect.com Direct
Direct Messaging Address admin@salish.oncoemrdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150417001220 WA Part B Supplier - Clinic/Group Practice 6204154420 Receives reassigned benefits from 6 practitioners
Practice locations: Fife, WA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: admin@salish.oncoemrdirect.com

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457740359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 PACIFIC HWY E STE 100",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241160",
            "telephone_number": "253-382-6300",
            "fax_number": "253-382-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PACIFIC HWY E STE 100",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241160",
            "telephone_number": "253-382-6300",
            "fax_number": "253-382-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 Yakima Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984055303",
            "country_code": "US",
            "telephone_number": "253-382-6300",
            "fax_number": "253-382-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALISH INTEGRATIVE MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "STANLEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-382-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026972",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11509443",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12546547",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEN",
            "identifier": "49566",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13870286",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9643818",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@salish.OncoEMRDirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Admin",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3700 Pacific Hwy E",
            "address_2": "Suite 100",
            "city": "Fife",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984241148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@salish.oncoemrdirect.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Messaging Inbox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3700 Pacific Hwy E",
            "address_2": "Suite 100",
            "city": "Fife",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984241148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Salish Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salish Integrative Cancer Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fife, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.