Phoenix Rising Family Medicine Llc - Primary Care in Salem, OR

Phoenix Rising Family Medicine Llc is a primary clinic (Clinic/center - Primary Care) in Salem, Oregon. The current practice location for Phoenix Rising Family Medicine Llc is 810 Commercial St Se, Salem, Oregon. For appointments, you can reach them via phone at (971) 227-1073. The mailing address for Phoenix Rising Family Medicine Llc is Po Box 2693, Salem, Oregon and phone number is (541) 556-6743.

Phoenix Rising Family Medicine Llc is licensed to practice in Oregon (license number 201505391NP-PP) and its NPI number is 1033654793. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (971) 227-1073.

Contact Information

Phoenix Rising Family Medicine Llc
810 Commercial St Se
Salem
OR 97302
(971) 227-1073
Not Available

Primary Care Clinic Profile

Full NamePhoenix Rising Family Medicine Llc
SpecialityClinic/center - Primary Care
Location810 Commercial St Se, Salem, Oregon
Authorized Official Name and PositionJoel E Dupuis (MBR)
Authorized Official Contact5415566743
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phoenix Rising Family Medicine Llc
Po Box 2693
Salem
OR 97308-2693

Ph: (541) 556-6743
Phoenix Rising Family Medicine Llc
810 Commercial St Se
Salem
OR 97302

Ph: (971) 227-1073

NPI Details:

NPI Number1033654793
Provider Enumeration Date01/04/2017
Last Update Date07/31/2018

Medical Identifiers

Medical identifiers for Phoenix Rising Family Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033654793NPI-NPPES
500690272MedicaidOR
R185124OtherORMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 201505391NP-PP (Oregon)Primary

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