SALEM CLINIC, PC
NPI 1962781526
General Practice in Salem, OR

Active since August 12, 2011
1174 CORNUCOPIA ST NW STE 120, SALEM, OR 97304(503) 399-2424(503) 375-7429 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Salem Clinic, Pc NPPES

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

SALEM CLINIC, PC (NPI 1962781526) is a healthcare organization registered as a general practice in Salem, Oregon and active in the NPI registry since August 2011. The organization lists Barbara Gunder, Administrator/cao, as its authorized official.

NPPES Registry Identity

NPI1962781526
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSALEM CLINIC, PC
Location Address1174 CORNUCOPIA ST NW STE 120Salem, OR 97304-3193
Mailing AddressPo Box 8100Salem, OR 97303-0900 · (503) 399-2470 · Fax (503) 375-7429
Fax(503) 375-7429
Organization SubpartNo
Authorized OfficialBarbara GunderAdministrator/cao · (503) 399-2470
Enumeration DateAugust 12, 2011
NPI 1962781526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1174 CORNUCOPIA ST NW STE 120, Salem, OR 97304

Other Identifiers 2

Medicaid179051OR
Medicare PINR0000WCJWKOR

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

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

Family Medicine
1174 CORNUCOPIA ST NW STE 120
SALEM, OR 97304

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 Clinic, PC's NPI number?

The NPI number for Salem Clinic, PC is 1962781526. It was assigned to this organization in the NPPES registry on August 12, 2011.

Where is Salem Clinic, PC located?

Salem Clinic, PC is located at 1174 Cornucopia St NW Ste 120, Salem, OR 97304. The listed phone number is (503) 399-2424.

What is Salem Clinic, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Salem Clinic, PC was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.