John C Hadley, DO
Individual provider Active NPI Family Medicine Physician · Dallas, OR
NPI 1508889320 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508889320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO27341 (OR)
- Practice address
- 525 SE Washington St
Dallas, OR 97338 - Phone
- (503) 623-8301
- Fax
- (503) 623-7337
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25413 | CO | MD | Family Medicine Physician |
| DO27341 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Valley Hospital Pharmacy | Past | Accepting new patients | |
| Salem Health | Family Medicine | Past | Accepting new patients |
| Kiowa County Hospital District | Family Medicine | Past | Accepting new patients |
| Kiowa County Hospital District | Family Medicine | Past | Accepting new patients |
| County of Kiowa Hospital District | Past | Accepting new patients | |
| Salem Radiology Consultants PC | Past | Accepting new patients |
Interoperability endpoints
- jhadley19735@direct.salemhealth.org
- https://api.platform.athenahealth.com/17361/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO27341 | OR | Yes |
| Family Medicine Physician | 207Q00000X | 25413 | CO |
Addresses
Primary practice location
525 SE Washington St
Dallas, OR 97338
Mailing address
PO Box 378
Dallas, OR 97338
Phone (503) 623-7301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01254135 | Medicaid | CO |
Other providers in Dallas, OR
- Heather Grandis-Ferretti
- Brittany Marie Grass
- Eugene Carter Grauer
- Marlisha Gregory
- Sergio A Gutierrez
- Amber Nikkita Hambas
- Kerry Hammerschmith
- Brandi Autumn Hannon
- Kristine Harmon
- Troy J Hattan
All providers in Dallas, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.