Vicki L Seller,M.D.,P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD14532 Issued in OR

Legal business name

VICKI L SELLER,M.D.,P.C.

Practice address

633 Jason St NE
Salem, OR 97301-2750

Phone

(503) 315-5710

Fax

(503) 315-5719

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Vicki Lynn Seller, M.D.

Title

President

Phone

(503) 315-5710

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1891977997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012750",
            "telephone_number": "503-315-5710",
            "fax_number": "503-315-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012750",
            "telephone_number": "503-315-5710",
            "fax_number": "503-315-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI L SELLER,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "SELLER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-315-5710",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD14532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136614",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.