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NPI Code Detail

MEDICARE: SALEM HEALTH

MEDICARE: SALEM HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1235055070
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALEM HEALTH
Provider Business Mailing Address
First Line : 890 OAK ST SE
Second Line :
City : SALEM
State : OR
Zip : 97301-3905
Country : US
Telephone Number : 503-814-1938
Fax Number :
Provider Business Practice Location Address
First Line : 1000 SE UGLOW AVE
Second Line :
City : DALLAS
State : OR
Zip : 97338-2645
Country : US
Telephone Number : 503-623-8376
Fax Number :
Authorized Official
Title or Position : CONTROLLER & REIMBURSEMENT MANAGER
Name : CARLA TENNEIL REILLY
Credential :
Telephone Number : 503-814-1941
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “SALEM HEALTH ” Practice Location

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