PDH Family Medical, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD26240 Issued in OR

Legal business name

PDH FAMILY MEDICAL, PC

Practice address

608 Lancaster Dr SE
Salem, OR 97317-5643

Phone

(503) 399-7474

Fax

(503) 399-0679

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Phyllis D Hursey, M.D.

Title

President

Phone

(503) 399-7474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1609195528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 LANCASTER DR SE # 288",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175642",
            "telephone_number": "503-399-7474",
            "fax_number": "503-399-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 LANCASTER DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175643",
            "telephone_number": "503-399-7474",
            "fax_number": "503-399-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDH FAMILY MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "HURSEY",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-399-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "MD26240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Juliana Sara Pearl-Beebe, RDN, LD
• Belinda Roseanne Pearl, LCSW
• Julianne Kathryn Church Pearson, M.A.

• Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.