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MILL CREEK FAMILY CLINIC INC
NPI 1114299153
Family Medicine in Salem, OR

Active since February 07, 2012CLIA 38D2037391 · Waiver
4285 COMMERCIAL ST SE, SUITE 120, SALEM, OR 97302(503) 391-6615 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mill Creek Family Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILL CREEK FAMILY CLINIC INC (NPI 1114299153) is a healthcare organization registered as a family medicine in Salem, Oregon and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Peggy Nelene Kelber, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114299153
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMILL CREEK FAMILY CLINIC INC
Location Address4285 COMMERCIAL ST SE, SUITE 120Salem, OR 97302-4371
Mailing Address4285 Commercial St Se, Suite 120Salem, OR 97302-4371 · (503) 931-2948
Phone(503) 391-6615
Organization SubpartNo
Authorized OfficialPeggy Nelene KelberOffice Manager · (503) 391-6615
Enumeration DateFebruary 7, 2012
Last NPPES UpdateMay 2, 2012
✔ NPI 1114299153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · NP135211
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4285 COMMERCIAL ST SE, Salem, OR 97302
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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 38D2037391

Mill Creek Family Clinic Inc · Salem, OR
Active · expires Feb 26, 2028
CLIA Number38D2037391
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorSheila L Wettlaufer
Laboratory Phone(503) 585-6455
Laboratory LocationMill Creek Family Clinic Inc4285 Commercial St SE Ste 120, Salem, OR 97302
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS WILMA JEAN MARCHBANKS AA
Counselor (Addiction (Substance Use Disorder))
4285 COMMERCIAL ST SE, SUITE 120
SALEM, OR 97302
Marion County (503) 399-7474
SHEILA L. WETTLAUFER CSFNP
Family Medicine
4285 COMMERCIAL ST SE, SUITE 120
SALEM, OR 97302
Marion County (503) 585-6455
MY HEARING CENTERS, LLC
Audiologist-Hearing Aid Fitter
4285 COMMERCIAL ST SE
SALEM, OR 97302
Marion County (801) 610-3535

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 Mill Creek Family Clinic Inc's NPI number?

The NPI number for Mill Creek Family Clinic Inc is 1114299153. It was assigned to this organization in the NPPES registry on February 7, 2012.

Where is Mill Creek Family Clinic Inc located?

Mill Creek Family Clinic Inc is located at 4285 Commercial St SE Suite 120, Salem, OR 97302. The listed phone number is (503) 391-6615.

What is Mill Creek Family Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mill Creek Family Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2037391) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mill Creek Family Clinic Inc accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mill Creek Family Clinic Inc 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 Mill Creek Family Clinic Inc was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.