Individual provider Active NPI

Lee Allison Salsburg, M.D.

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1720077696
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD150824 Issued in OR
Practice address
1535 N. Williams
Portland, OR 97227-1830
Phone
(503) 238-2067
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002-0101 NM
Family Medicine Physician 207Q00000X MD150824 OR Primary

Addresses

Primary practice location

1535 N. Williams
Portland, OR 97227-1830

Mailing address

5456 SW Downsview Court
Portland, OR 97221-2130
Phone (505) 401-9232

Other identifiers 1

IdentifierTypeStateIssuer
53189370MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsalsburg787685@oc.providencedirect.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000748 OR Practitioner - Family Practice 3577554450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

4400 NE Halsey St
Portland, OR 97213-1545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2002-0101NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Family Medicine Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 1, 2021 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Feb 1, 2021 Accepting new patients
Providence Health & Services - Oregon Family Medicine Current Accepting new patients
Providence Health & Services - Oregon Family Medicine Current Accepting new patients
Lester M Baskin MD PC Family Medicine PastSince Nov 26, 2023 Accepting new patients
Central City Concern, Inc Past Accepting new patients
Central City Concern Past Accepting new patients

Locations

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

440 NW Division St
Gresham, OR 97030
Phone (503) 215-9500

5555 NE Elam Young Pkwy
Hillsboro, OR 97124
Phone (503) 216-1600

870 S Front St
Ste 200
Medford, OR 97502
Phone (541) 664-3346

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

70 Bower Dr
Medford, OR 97501
Phone (541) 732-8360

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

15640 NW Laidlaw Rd
Ste 102
Portland, OR 97229
Phone (503) 764-0100

10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950

5330 NE Glisan St
Ste 100
Portland, OR 97213
Phone (503) 215-9700

9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1720077696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 SW DOWNSVIEW COURT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212130",
            "telephone_number": "505-401-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N. WILLIAMS",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271830",
            "telephone_number": "503-238-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALSBURG",
        "first_name": "LEE",
        "middle_name": "ALLISON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2002-0101",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD150824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53189370",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsalsburg787685@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1321 NE 99th Ave Ste 100",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972209437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.