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PACIFIC FAMILY MEDICAL CENTER LLC
NPI 1902942055
Family Medicine in Salem, OR

Active since January 29, 2007
966 12TH ST SE, SUITE 130, SALEM, OR 97302(503) 540-7477(503) 540-5919 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacific Family Medical Center Llc NPPES

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

PACIFIC FAMILY MEDICAL CENTER LLC (NPI 1902942055) is a healthcare organization registered as a family medicine in Salem, Oregon and active in the NPI registry since January 2007. The organization lists Michelle Anne Rasmussen, Owner, as its authorized official.

NPPES Registry Identity

NPI1902942055
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePACIFIC FAMILY MEDICAL CENTER LLC
Location Address966 12TH ST SE, SUITE 130Salem, OR 97302-2859
Mailing AddressPo Box 31Salem, OR 97308-0031 · (503) 540-7477 · Fax (503) 540-5919
Phone(503) 540-7477
Fax(503) 540-5919
Organization SubpartNo
Authorized OfficialMichelle Anne RasmussenOwner · (503) 540-7477
Enumeration DateJanuary 29, 2007
Last NPPES UpdateApril 7, 2011
✔ NPI 1902942055 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.
966 12TH ST SE, Salem, OR 97302
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Other Identifiers 2

Medicaid271022OR
Medicare ID-Type Unspecified114652OR · Medicare Group Number

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

Other Providers at the Same Location NPPES 5

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

RALPH A YATES D.O.
Family Medicine
966 12TH ST SE
SALEM, OR 97302
Marion County (503) 814-4400
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Clinical Medical Laboratory
966 12TH ST SE, SUITE 110
SALEM, OR 97302
Marion County (503) 763-6333
DR. ANDREW SOWLES PHARMD, BCACP, BCPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
966 12TH ST SE, STE 130
SALEM, OR 97302
Marion County (503) 814-4400
KENTEN D WOOLHISER MD
Psychiatry & Neurology (Neurology)
966 12TH ST SE
SALEM, OR 97302
Marion County (503) 814-4400
MS. MAREN NELSON
Nurse Practitioner (Family)
966 12TH ST SE
SALEM, OR 97302
Marion County (503) 814-4400

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 Pacific Family Medical Center LLC's NPI number?

The NPI number for Pacific Family Medical Center LLC is 1902942055. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Pacific Family Medical Center LLC located?

Pacific Family Medical Center LLC is located at 966 12th St SE Suite 130, Salem, OR 97302. The listed phone number is (503) 540-7477.

What is Pacific Family Medical Center 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 Pacific Family Medical Center LLC was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.