Salem Clinic, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SALEM CLINIC, PC

Practice address

1165 Union St NE
Salem, OR 97301-4693

Phone

(503) 399-2424

NPI assigned

Feb 15, 2008

Last updated

Dec 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Gunder

Title

Administrator/Cao

Phone

(503) 399-2470

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Vicki Seller2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Salem Clinic, PC

  • General Practice Physician
  • Salem, OR
  • NPI 1962781526
  NPD tax ID

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1538337266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973030900",
            "telephone_number": "503-399-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 UNION ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014693",
            "telephone_number": "503-399-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "GUNDER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CAO",
        "authorized_official_telephone_number": "503-399-2470",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179051",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NO.",
            "identifier": "CS4159",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salem Brain & Spine, LLC
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• Salem Cardiovascular Associates, PC (Salem Cardiology Associates, PC)
• Salem Chiropractic and Wellness Corporation
• Salem Chiropractic Clinic, PC (WSC Chiropractic Physicians)
• Salem Clinic, PC
• Salem Clinic, PC
• Salem Clinic, PC
• Salem Community Acupuncture Project
• Salem Correctional Pharmacy

• General Practice Physician in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.