PREMIERE ADULT WELLNESS LLC
NPI 1174408298
Nurse Practitioner - Adult Health in Salem, OR

Q: What is Premiere Adult Wellness LLC's NPI number?

The NPI number for Premiere Adult Wellness LLC is 1174408298. It was assigned to this organization in the NPPES registry on August 7, 2025.

Q: What is Premiere Adult Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since August 07, 2025

3465 DUNCAN AVE NE, SALEM, OR 97301 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Premiere Adult Wellness Llc NPPES

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

PREMIERE ADULT WELLNESS LLC (NPI 1174408298) is a healthcare organization registered as an adult health in Salem, Oregon and active in the NPI registry since August 2025. The organization lists Tammy Stuber, Owner, as its authorized official.

NPPES Registry Identity

NPI1174408298

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NamePREMIERE ADULT WELLNESS LLC

Location Address3465 DUNCAN AVE NESalem, OR 97301-0811

Mailing AddressPo Box 7897Salem, OR 97303-0193 · (503) 551-9873

Organization SubpartNo

Authorized OfficialTammy StuberOwner · (503) 551-9873

Enumeration DateAugust 7, 2025

NPPES CertifiedAugust 7, 2025

✔ NPI 1174408298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

3465 DUNCAN AVE NE, Salem, OR 97301

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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

Other Providers at the Same Location NPPES

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

TAMMY M STUBER APRN-NP

Nurse Practitioner (Adult Health)

3465 DUNCAN AVE NE
SALEM, OR 97301

Marion County (503) 551-9873

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 Premiere Adult Wellness LLC's NPI number?

The NPI number for Premiere Adult Wellness LLC is 1174408298. It was assigned to this organization in the NPPES registry on August 7, 2025.

Where is Premiere Adult Wellness LLC located?

Premiere Adult Wellness LLC is located at 3465 Duncan Ave NE, Salem, OR 97301.

What is Premiere Adult Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Premiere Adult Wellness LLC was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.