Salvia Medica

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SALVIA MEDICA

Practice address

443 NE Knott St
Portland, OR 97212-3179

Phone

(503) 609-0780

Fax

(503) 282-1990

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Agnes White, FNP

Title

Partner

Phone

(503) 609-0780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1497056022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123179",
            "telephone_number": "503-609-0780",
            "fax_number": "503-282-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123179",
            "telephone_number": "503-609-0780",
            "fax_number": "503-282-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVIA MEDICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "503-609-0780",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Salu
• Salus, LLC
• Holly Salvatore
• Laura Salvatore, LAC, MSOM
• Patty Sue Salvey-Sunde, M.S.W. , L.C.S.W.
• Courtney E Salzano, LCSW
• Manuela Salzgerber
• Ariel Zita Salzman, DPT
• Jay Salzman, PT
• Katharine Salzmann, LMT

• Health Service Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.