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LIBERTY HOUSE
NPI 1639244056
Pediatrics in Salem, OR

Active since November 21, 2006
2685 4TH ST NE, SALEM, OR 97301(503) 540-0288(503) 540-0293 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty House NPPES

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

LIBERTY HOUSE (NPI 1639244056) is a healthcare organization registered as a pediatrics in Salem, Oregon and active in the NPI registry since November 2006. The organization lists Alison Kelley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639244056
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIBERTY HOUSE
Location Address2685 4TH ST NESalem, OR 97301-6548
Mailing Address2685 4th St NeSalem, OR 97301-6548 · (503) 540-0288 · Fax (503) 540-0293
Phone(503) 540-0288
Fax(503) 540-0293
Organization SubpartNo
Authorized OfficialAlison KelleyCeo · (503) 540-0288
Enumeration DateNovember 21, 2006
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1639244056 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.
2685 4TH ST NE, Salem, OR 97301
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Other Identifiers 2

Other067746000OR · Blue Cross Blue Shield
Medicaid139463OR

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., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 4

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

MRS. ELIZABETH GRAVES GRIFFIN F.N.P.
Nurse Practitioner (Family)
2685 4TH ST NE
SALEM, OR 97301
Marion County (503) 540-0288
DR. MEREDYTH GOLDBERG EDELSON PHD
Psychologist
2685 4TH ST NE
SALEM, OR 97301
Marion County (503) 540-0288
MS. TAMARA MARIE STAMBAUGH FNP
Nurse Practitioner (Family)
2685 4TH ST NE
SALEM, OR 97301
Marion County (503) 540-0288
DR. LAUREN MCNAUGHTON M.D.
Pediatrics
2685 4TH ST NE
SALEM, OR 97301
Marion County (503) 540-0288

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 Liberty House's NPI number?

The NPI number for Liberty House is 1639244056. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Liberty House located?

Liberty House is located at 2685 4th St NE, Salem, OR 97301. The listed phone number is (503) 540-0288.

What is Liberty House's specialty?

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

What insurance does Liberty House accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Liberty House 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 Liberty House was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.