NPIMap

Organization Active NPI

Salem Hospital

  • Psychiatry Physician
  • Salem, OR
National Provider Identifier
1811061708
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD20633 Issued in OR
Legal business name
SALEM HOSPITAL
Practice address
2454 Abbey Way SE
Salem, OR 97301-9564
Phone
(503) 365-0702
NPI assigned
Nov 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Robert Michael Wolf, MDNPI 1598722936
Title
Physician
Phone
(503) 561-1886

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

2478 13th St SE
Ste 200
Salem, OR 97302
Phone (503) 561-5582

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD20633 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

2454 Abbey Way SE
Salem, OR 97301-9564

Mailing address

2478 13TH St SE Ste 200
Salem, OR 97302-2522
Phone (503) 561-1886

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2008.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1811061708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 13TH ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022522",
            "telephone_number": "503-561-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 ABBEY WAY SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973019564",
            "telephone_number": "503-365-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-561-1886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD20633",
            "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 Jun 30, 2008; 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.