Active NPI
Margo Rall Salisbury, WHCNP
- Adult Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1730233453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 000028732N3
- Practice address
- 426 SW Stark St
8TH Floor
Portland, OR 97204-2347 - Phone
- (503) 988-3674
- Fax
- (503) 988-5185
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 000028732N3 | OR | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 000028732N7 | OR |
Addresses
Primary practice location
426 SW Stark St
8TH Floor
Portland, OR 97204-2347
Mailing address
421 SW Oak St
210
Portland, OR 97204-1817
Phone (503) 988-3674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022959 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000028732N7 | OR | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1730233453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 SW OAK ST",
"address_2": "210",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972041817",
"telephone_number": "503-988-3674",
"fax_number": "503-988-5185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 SW STARK ST",
"address_2": "8TH FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972042347",
"telephone_number": "503-988-3674",
"fax_number": "503-988-5185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALISBURY",
"first_name": "MARGO",
"middle_name": "RALL",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OR",
"license": "000028732N3",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "000028732N7",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022959",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.