Individual provider Active NPI

Michael Dac Nguyen

  • Physician Assistant
  • Salem, OR
National Provider Identifier
1538981089
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone
(503) 561-6444
Fax
(503) 561-6440
NPI assigned
Oct 28, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X OR Primary

Addresses

Primary practice location

875 Oak St SE Ste 4030
Salem, OR 97301-3984

Mailing address

875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone (503) 561-6444

Other practice location 1

2700 SE Stratus Ave Ste A
McMinnville, OR 97128-6258
Phone (503) 435-6590

Other practice location 2

1475 Mount Hood Ave Ste 135
Woodburn, OR 97071-9199
Phone (503) 561-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327002911 OR Practitioner - Physician Assistant 8527543560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

875 Oak St SE
Suite 4030
Salem, OR 97301-3984
Phone (503) 561-6444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1538981089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444",
            "fax_number": "503-561-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444",
            "fax_number": "503-561-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 SE Stratus Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971286258",
            "country_code": "US",
            "telephone_number": "503-435-6590",
            "fax_number": "503-435-6591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Mount Hood Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Woodburn",
            "state": "OR",
            "postal_code": "970719199",
            "country_code": "US",
            "telephone_number": "503-561-6444",
            "fax_number": "503-561-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHAEL",
        "middle_name": "DAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.