Healthcare Provider Details

I. General information

NPI: 1336065176
Provider Name (Legal Business Name): SALEM HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 MONMOUTH ST STE 100
INDEPENDENCE OR
97351-1019
US

IV. Provider business mailing address

890 OAK ST SE
SALEM OR
97301-3905
US

V. Phone/Fax

Practice location:
  • Phone: 503-838-0045
  • Fax:
Mailing address:
  • Phone: 513-814-1938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARLA TENNEIL REILLY
Title or Position: CONTROLLER & REIMBURSEMENT MANAGER
Credential:
Phone: 503-814-1941