Healthcare Provider Details

I. General information

NPI: 1104200799
Provider Name (Legal Business Name): DEVIN A. SALAZAR NP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEVIN A. SEMAN

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 WELCH STREET
SILVERTON OR
97381
US

IV. Provider business mailing address

PO BOX 278
WOODBURN OR
97071
US

V. Phone/Fax

Practice location:
  • Phone: 503-364-3787
  • Fax: 503-763-3595
Mailing address:
  • Phone: 971-983-5260
  • Fax: 971-983-5326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201392856RN
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number201505393NP-PP
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number201505393NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: