PHOENIX RISING FAMILY MEDICINE LLC
NPI 1033654793
Clinic/Center - Primary Care in Salem, OR
About Phoenix Rising Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIX RISING FAMILY MEDICINE LLC (NPI 1033654793) is a healthcare organization registered as a primary care in Salem, Oregon and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists Joel E Dupuis, Mbr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D2124876
Phoenix Rising Family Medicine · Salem, OROther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Phoenix Rising Family Medicine LLC's NPI number?
The NPI number for Phoenix Rising Family Medicine LLC is 1033654793. It was assigned to this organization in the NPPES registry on January 4, 2017.
Where is Phoenix Rising Family Medicine LLC located?
Phoenix Rising Family Medicine LLC is located at 810 Commercial St SE, Salem, OR 97302. The listed phone number is (971) 227-1073.
What is Phoenix Rising Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Phoenix Rising Family Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2124876) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Phoenix Rising Family Medicine LLC accept?
Health plans from Moda Health Plan, Inc. list Phoenix Rising Family Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Phoenix Rising Family Medicine LLC was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
