MEDICARE: FIVE RED CAR DAY LLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1306274428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIVE RED CAR DAY LLC

Provider Business Mailing Address
First Line	:	2755 COMMERCIAL ST SE # 101-327
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4981
Country	:	US
Telephone Number	:	971-599-1002
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 LINCOLN ST SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4350
Country	:	US
Telephone Number	:	971-599-1002
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DR. LARA M KNUDSEN
Credential	:	MD, MPH
Telephone Number	:	971-599-1002

Provider Enumeration Date	:	10/29/2013
Last Update Date	:	07/28/2025

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Directions to “FIVE RED CAR DAY LLC ” Practice Location

Language	Start Address	Practice Location

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