Organization Active NPI

Clinicops, LLC

Doing business as Oregon Integrated Health

  • General Practice Physician
  • Salem, OR
National Provider Identifier
1861073058
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLINICOPS, LLC
Doing business as
Oregon Integrated Health
Practice address
374 Owens St SE
Salem, OR 97302-4183
Phone
(866) 972-0235
NPI assigned
Apr 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Jacqueline Morrison Nelson
Title
Billing Administrator
Phone
(503) 972-0235

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

374 Owens St SE
Salem, OR 97302-4183

Mailing address

2459 SE Tualatin Valley Hwy # 416
Hillsboro, OR 97123-7919
Phone (503) 972-0235

Other identifiers 1

IdentifierTypeStateIssuer
500778447MedicaidOR

Other names 1

  • Oregon Integrated Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2183725Oregon Integrated Health374 Owens St SE, Salem, OR 97302Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Clinicops LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1535 Liberty St SE
#416
Salem, OR 97302

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1861073058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 SE TUALATIN VALLEY HWY # 416",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237919",
            "telephone_number": "503-972-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 OWENS ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024183",
            "telephone_number": "866-972-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICOPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MORRISON",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "503-972-0235"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500778447",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oregon Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.