Chemawa Indian Health Center DHHS IHS Western Oregon Serv Unit

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

License

AP8985218 Issued in DC

Legal business name

CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT

Practice address

3750 Chemawa Rd NE
Chemawa Indian Health Center Western Oregon Service Uni
Salem, OR 97305-1119

Phone

(503) 304-7600

Fax

(503) 304-7678

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Adam Thomas Birdinground

Title

Chief Executive Officer

Phone

(503) 304-7642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chemawa Indian Health Center Western Oregon Service Unit Other name

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

CLIA laboratory certificates

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861556920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CHEMAWA RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051119",
            "telephone_number": "503-304-7600",
            "fax_number": "503-304-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CHEMAWA RD NE",
            "address_2": "CHEMAWA INDIAN HEALTH CENTER WESTERN OREGON SERVICE UNI",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051119",
            "telephone_number": "503-304-7600",
            "fax_number": "503-304-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRDINGROUND",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-304-7642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "DC",
            "license": "AP8985218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270030",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chemawa Indian Health Center Western Oregon Service Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sara Chavez
• Jonathan Michael Chavis
• Ruben Chekhov
• Yohalakshmi Chelladurai, MBBS, MPH
• Chemawa Indian Health Center DHHS IHS Western Oregon Serv Unit
• Cher Yao Chen, MD
• Daniel Shaohua Chen, MD
• Eric Tinghwa Chen
• Ivory Chen, PHARMD
• Melissa Q Chen, OD

• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Salem, OR
• Providers in Salem, OR by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.