Individual provider Active NPI

Lydia Chung Laffitte

  • Physician Assistant
  • Salem, OR
National Provider Identifier
1851079578
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA224300 Issued in OR
Practice address
2480 Liberty St NE Ste 180
Salem, OR 97301-8388
Phone
(503) 371-1010
Fax
(503) 371-0805
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA224300 OR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2480 Liberty St NE Ste 180
Salem, OR 97301-8388

Mailing address

2480 Liberty St NE Ste 180
Salem, OR 97301-8388
Phone (503) 371-1010

Other practice location 1

222 SE 8th Ave
Hillsboro, OR 97123-4218
Phone (503) 352-7272

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020001451 OR Practitioner - Physician Assistant 5496243719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Care Specialists of Oregon, LLCGroup PAC ID 7618273087, 5 clinicians

Practice addresses (Care Compare)

2480 Liberty St NE
Suite 180
Salem, OR 97301-8388
Phone (503) 371-1010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA224300ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Specialists of Oregon, LLC CurrentSince Sep 1, 2025 Accepting new patients
Pain Care Specialists, PC Past Accepting new patients

Locations

2480 Liberty St NE
Ste 180
Salem, OR 97301
Phone (503) 371-1010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CACHAA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1851079578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE STE 180",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018388",
            "telephone_number": "503-371-1010",
            "fax_number": "503-371-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE STE 180",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018388",
            "telephone_number": "503-371-1010",
            "fax_number": "503-371-0805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 SE 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234218",
            "country_code": "US",
            "telephone_number": "503-352-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFFITTE",
        "first_name": "LYDIA",
        "middle_name": "CHUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA224300",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.