Organization Active NPI

Innerhealth

  • Health Service Clinic/Center
  • Salem, OR
National Provider Identifier
1659535029
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AC 01032 Issued in OR
Legal business name
INNERHEALTH
Practice address
375 Leffelle St SE
Salem, OR 97302-4341
Phone
(503) 364-3022
Fax
(503) 364-0308
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Dr. Angela Pfaffenberger, PH.D.NPI 1851504062
Title
Director
Phone
(503) 364-3022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AC 01032 OR
Health Service Clinic/Center 261QH0100X AC 01032 OR Primary

Addresses

Primary practice location

375 Leffelle St SE
Salem, OR 97302-4341

Mailing address

375 Leffelle St SE
Salem, OR 97302-4341
Phone (503) 364-3022

National Provider Directory

National Provider Directory

Locations

375 Leffelle St SE
Salem, OR 97302
Phone (503) 364-3022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1659535029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 LEFFELLE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024341",
            "telephone_number": "503-364-3022",
            "fax_number": "503-364-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 LEFFELLE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024341",
            "telephone_number": "503-364-3022",
            "fax_number": "503-364-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "PFAFFENBERGER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-364-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "AC 01032",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "AC 01032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.