NPIMap

Organization Active NPI

Groundswell Integrative Healthcare Inc.

  • Family Medicine Physician
  • Salem, OR
National Provider Identifier
1457790826
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1235 Issued in OR
Legal business name
GROUNDSWELL INTEGRATIVE HEALTHCARE INC.
Practice address
374 Owens St SE
#100
Salem, OR 97302-4183
Phone
(503) 399-1400
Fax
(503) 399-1406
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dawson Farr, ND
Title
Owner
Phone
(503) 399-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1235 OR Primary

Addresses

Primary practice location

374 Owens St SE
#100
Salem, OR 97302-4183

Mailing address

374 Owens St SE
#100
Salem, OR 97302
Phone (503) 399-1400

National Provider Directory

National Provider Directory

Locations

374 Owens St SE
Ste 100
Salem, OR 97302
Phone (503) 370-8784

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1457790826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 OWENS ST SE",
            "address_2": "#100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-399-1400",
            "fax_number": "503-399-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 OWENS ST SE",
            "address_2": "#100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024183",
            "telephone_number": "503-399-1400",
            "fax_number": "503-399-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDSWELL INTEGRATIVE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "DAWSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-399-1400",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "1235",
            "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 19, 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.