Primary Care West, P.C.

LBN: Primary Care West, P.C.
Primary Care West, P.C. is an health care organization with primary practice located at 1255 Wallace Rd Nw , Salem OR 97304-3007. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Primary Care West, P.C. can be contacted via phone (503) 362-1314, or through Hovenden, Lori Leanne via phone (503) 362-1314.

Contact Information

Primary practice address
1255 Wallace Rd Nw Salem OR 97304-3007
Phone: (503) 362-1314
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hovenden, Lori Leanne
Phone: (503) 362-1314

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 13749 Oregon

Profile Details

NPI number 1407854243
LBN Legal business name Primary Care West, P.C.
DBA Doing business as
Authorized official Hovenden, Lori Leanne
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Oct 21st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407854243 NPPES
Oregon MEDICAID 278804
Oregon MEDICAID 021159
Oregon MEDICAID 019179

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