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General NPI Number Information
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NPI Number | 1124928809
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Entity Type | Organization
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Legal Business Name | SALEM HEALTH
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 2925 RIVER RD S STE 110
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City | SALEM
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State | OR
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Zip | 97302-3677
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Country | US
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Telephone | 503-814-4585
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Fax | 503-814-4586
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Provider Business Mailing Address
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Address Line | 665 WINTER ST SE
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City | SALEM
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State | OR
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Zip | 97301-3919
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Country | US
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Telephone | 503-814-1941
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Fax |
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Authorized Official
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Title or Position | CONTROLLER & REIMBURSEMENT MANAGER
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Name | CARLA TENNEIL REILLY
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Credential | CPA
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Telephone | 770-601-7065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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