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LOCKLAB PROVIDER GROUP, LLC
NPI 1376472910
Family Medicine in Salem, OR

Active since May 19, 2026
780 COMMERCIAL ST SE STE 100, SALEM, OR 97301(305) 425-9125 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Locklab Provider Group, Llc NPPES

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

LOCKLAB PROVIDER GROUP, LLC (NPI 1376472910) is a healthcare organization registered as a family medicine in Salem, Oregon and active in the NPI registry since May 2026. The organization lists Bobby Desai, President, as its authorized official.

NPPES Registry Identity

NPI1376472910
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLOCKLAB PROVIDER GROUP, LLC
Location Address780 COMMERCIAL ST SE STE 100Salem, OR 97301-3465
Mailing Address10260 Sw Greenburg Rd Ste 400Portland, OR 97223-5514 · (305) 425-9125
Phone(305) 425-9125
Organization SubpartNo
Authorized OfficialBobby DesaiPresident · (305) 425-9125
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1376472910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
780 COMMERCIAL ST SE STE 100, 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 8

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

CHELSEA PRETTYMAN
Counselor (Mental Health)
780 COMMERCIAL ST SE STE 100
SALEM, OR 97301
Marion County (608) 433-9736
MDPOR PHYSICIANS, P.C.
Specialist
780 COMMERCIAL ST SE STE 100
SALEM, OR 97301
Marion County (314) 609-3435
GAPS HEALTH OR PC
Internal Medicine
780 COMMERCIAL ST SE STE 100
SALEM, OR 97301
Marion County (503) 588-5767
WILDFLOWER TELEHEALTH NETWORK INC.
Lactation Consultant, Non-RN
780 COMMERCIAL ST SE STE 100
SALEM, OR 97301
Marion County (650) 864-4320
BECKY LOVING LPC
Counselor (Professional)
780 COMMERCIAL ST SE STE 100
SALEM, OR 97301
Marion County (855) 387-4378
LEONOR ELIZABETH CASH
Counselor (Professional)
780 COMMERCIAL ST SE STE 100
SALEM, OR 97301
Marion County (855) 387-4378
TELEGENIX PROVIDER GROUP, LLC
Family Medicine
780 COMMERCIAL ST SE STE 100
SALEM, OR 97301
Marion County (305) 928-7338
NEXUS WOUND CONSULTANTS LLC
Family Medicine
780 COMMERCIAL ST SE STE 100
SALEM, OR 97301
Marion County (830) 285-8882

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 Locklab Provider Group, LLC's NPI number?

The NPI number for Locklab Provider Group, LLC is 1376472910. It was assigned to this organization in the NPPES registry on May 19, 2026.

Where is Locklab Provider Group, LLC located?

Locklab Provider Group, LLC is located at 780 Commercial St SE Ste 100, Salem, OR 97301. The listed phone number is (305) 425-9125.

What is Locklab Provider Group, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Locklab Provider Group, LLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.