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SALEM PEDIATRIC CLINIC
NPI 1245307693
Pediatrics in Salem, OR

Active since November 29, 2006CLIA 38D0667311 · Waiver
2478 13TH ST SE, SALEM, OR 97302(503) 362-2481(503) 371-7803 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Salem Pediatric Clinic NPPES

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

SALEM PEDIATRIC CLINIC (NPI 1245307693) is a healthcare organization registered as a pediatrics in Salem, Oregon and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Liz Casebeer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245307693
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSALEM PEDIATRIC CLINIC
Location Address2478 13TH ST SESalem, OR 97302-2546
Mailing Address2478 13th St SeSalem, OR 97302-2546 · (503) 362-2481 · Fax (503) 371-7803
Phone(503) 362-2481
Fax(503) 371-7803
Organization SubpartNo
Authorized OfficialLiz CasebeerAdministrator · (503) 485-3707
Enumeration DateNovember 29, 2006
Last NPPES UpdateMarch 4, 2015
✔ NPI 1245307693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2478 13TH 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 38D0667311

Salem Pediatric Clinic · Salem, OR
Active · expires Dec 31, 2026
CLIA Number38D0667311
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorJennifer Wirsig
Laboratory Phone(503) 485-3636
Laboratory LocationSalem Pediatric Clinic2478 13th St SE, 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 20

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

RACHAEL HIEBERT M.D.
Pediatrics
2478 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-2481
SEAN ROBERT MCCARTHY MA, LPC INTERN
Counselor (Mental Health)
2478 13TH ST SE
SALEM, OR 97302
Marion County (503) 485-3615
EARL J VANVOLKINBURG MD
Internal Medicine
2478 13TH ST SE, SUITE 200
SALEM, OR 97302
Marion County (503) 588-5892
MICHAEL HOWARD WILLIAMS LPC
Counselor (Professional)
2478 13TH ST SE, 200
SALEM, OR 97302
Marion County (503) 561-5582
MRS. KIMBERLY RACHEL BOWEN M.S. CCC-SLP
Speech-Language Pathologist
2478 13TH ST SE
SALEM, OR 97302
Marion County (503) 779-1020
SARAH D WRIGHT MD
Pediatrics
2478 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-2481
WARREN L GRIFFIN MD
Pediatrics
2478 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-2481
DR. MELANIE ANNE RONAI MD
Pediatrics
2478 13TH ST SE
SALEM, OR 97302
Marion County (503) 362-2481

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 Salem Pediatric Clinic's NPI number?

The NPI number for Salem Pediatric Clinic is 1245307693. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Salem Pediatric Clinic located?

Salem Pediatric Clinic is located at 2478 13th St SE, Salem, OR 97302. The listed phone number is (503) 362-2481.

What is Salem Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Salem Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0667311) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Salem Pediatric Clinic accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Salem Pediatric Clinic 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 Salem Pediatric Clinic was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.