| R. Scott Babe, Md, Llc | |
|
2264 Mcgilchrist St Se Ste 100 Salem OR 97302-1008 | |
| (503) 581-7700 | |
| (503) 581-7799 |
| Full Name | R. Scott Babe, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2264 Mcgilchrist St Se Ste 100, Salem, Oregon |
| Authorized Official Name and Position | Rodney Scott Babe (OWNER) |
| Authorized Official Contact | 5035817700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Scott Babe, Md, Llc 2264 Mcgilchrist St Se Ste 100 Salem OR 97302-1008 Ph: (503) 581-7700 | R. Scott Babe, Md, Llc 2264 Mcgilchrist St Se Ste 100 Salem OR 97302-1008 Ph: (503) 581-7700 |
| NPI Number | 1114337409 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 05/07/2014 |
| Medicare PECOS PAC ID | 6204220098 |
|---|---|
| Medicare Enrollment ID | O20220311001954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114337409 | NPI | - | NPPES |
| Provider Name | Rodney S Babe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275559296 PECOS PAC ID: 4082703533 Enrollment ID: I20071205000529 |
| Provider Name | Wendy Wan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427486505 PECOS PAC ID: 1850516824 Enrollment ID: I20140707001809 |
| Provider Name | Rachel Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952960387 PECOS PAC ID: 8426384785 Enrollment ID: I20230130001163 |
| Provider Name | Lisa Dawn Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366136228 PECOS PAC ID: 6002277092 Enrollment ID: I20230808000769 |
| Provider Name | Amanda Mae Equall Lacombe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144415191 PECOS PAC ID: 2264877794 Enrollment ID: I20240223003149 |
| Provider Name | Jessica Huntley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750733093 PECOS PAC ID: 6406274307 Enrollment ID: I20250205002646 |
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