P3 HEALTH PARTNERS-OREGON LLC
NPI 1831708916
Family Medicine in Salem, OR

Active since July 24, 2020CLIA 38D2215466 · Waiver
2525 12TH ST SE STE 240250, SALEM, OR 97302(971) 701-9058 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About P3 Health Partners-oregon Llc NPPES

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

P3 HEALTH PARTNERS-OREGON LLC (NPI 1831708916) is a healthcare organization registered as a family medicine in Salem, Oregon and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Amir Bacchus, Cmo, as its authorized official.

NPPES Registry Identity

NPI1831708916
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameP3 HEALTH PARTNERS-OREGON LLC
Location Address2525 12TH ST SE STE 240250Salem, OR 97302-2281
Mailing Address2370 Corporate Cir Ste 300Henderson, NV 89074-7760 · (702) 910-3950 · Fax (702) 778-2264
Organization SubpartNo
Authorized OfficialAmir BacchusCmo · (702) 910-3950
Enumeration DateJuly 24, 2020
NPPES CertifiedJuly 24, 2020
NPI 1831708916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2525 12TH ST SE STE 240250, Salem, OR 97302

Other Identifiers 1

MedicaidPENDINGOR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 38D2215466

P3 Health Partners-Oregon, LLC · Salem, OR
Active · expires Mar 2, 2027
CLIA Number38D2215466
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorDouglas D. Eliason
Laboratory Phone(971) 239-0001
Laboratory LocationP3 Health Partners-Oregon, LLC2525 12th St SE, Ste 260, Salem, OR 97302
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
2525 12TH ST SE STE 240250
SALEM, OR 97302

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 P3 Health Partners-Oregon LLC's NPI number?

The NPI number for P3 Health Partners-Oregon LLC is 1831708916. It was assigned to this organization in the NPPES registry on July 24, 2020.

Where is P3 Health Partners-Oregon LLC located?

P3 Health Partners-Oregon LLC is located at 2525 12th St SE Ste 240250, Salem, OR 97302. The listed phone number is (971) 701-9058.

What is P3 Health Partners-Oregon LLC's specialty?

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

Does P3 Health Partners-Oregon LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2215466) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for P3 Health Partners-Oregon LLC was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.