| West Salem Clinic | |
|
1233 Edgewater St Nw Salem OR 97304-4049 | |
| (503) 378-7526 | |
| (503) 480-1630 |
| Full Name | West Salem Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1233 Edgewater St Nw, Salem, Oregon |
| Authorized Official Name and Position | Kimberly Leathley (CEO) |
| Authorized Official Contact | 5035885828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Salem Clinic 681 Center St Ne Salem OR 97301-3722 Ph: (503) 588-5828 | West Salem Clinic 1233 Edgewater St Nw Salem OR 97304-4049 Ph: (503) 378-7526 |
| NPI Number | 1871530758 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/18/2026 |
| Certification Date | 08/18/2026 |
| Medicare PECOS PAC ID | 7012825797 |
|---|---|
| Medicare Enrollment ID | O20040302000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871530758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| 332900000X | Non-pharmacy Dispensing Site | () | Secondary |
| Provider Name | Angela L Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508921214 PECOS PAC ID: 9234230434 Enrollment ID: I20070718000217 |
| Provider Name | Timothy L Truschel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164541439 PECOS PAC ID: 4688768260 Enrollment ID: I20121112000533 |
| Provider Name | Joshua F Sandeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699050492 PECOS PAC ID: 3971762287 Enrollment ID: I20130423000134 |
| Provider Name | Eric Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568751741 PECOS PAC ID: 1355596149 Enrollment ID: I20140829000153 |
| Provider Name | Shannon Renee Carey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154700219 PECOS PAC ID: 2567747918 Enrollment ID: I20170327001137 |
| Provider Name | Sandra Danielle Fulkerson Schaeffer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790208619 PECOS PAC ID: 1658637095 Enrollment ID: I20171117000877 |
| Provider Name | Meghan Michele Ferry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700305166 PECOS PAC ID: 7517225303 Enrollment ID: I20171228000995 |
| Provider Name | Taylor Jeanne Mcdowell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215414669 PECOS PAC ID: 5496009409 Enrollment ID: I20181109002417 |
| Provider Name | Erik Stephen Gillis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346723038 PECOS PAC ID: 9638416225 Enrollment ID: I20190118002714 |
| Provider Name | Sharon Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568914497 PECOS PAC ID: 9133462070 Enrollment ID: I20190516002750 |
| Provider Name | Elisabeth Ruth Decelles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114435807 PECOS PAC ID: 0345501029 Enrollment ID: I20190819003089 |
| Provider Name | Caitlin Sierra Maclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912340969 PECOS PAC ID: 4587992607 Enrollment ID: I20190827001780 |
| Provider Name | Maria Niemuth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538546668 PECOS PAC ID: 3678831211 Enrollment ID: I20201013003213 |
| Provider Name | Paige F Tomes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053847442 PECOS PAC ID: 8022362177 Enrollment ID: I20211025002718 |
| Provider Name | Vickie Marie Larson-hills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821548728 PECOS PAC ID: 3870971476 Enrollment ID: I20220610001226 |
| Provider Name | Brianna Sexton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407319874 PECOS PAC ID: 6305212291 Enrollment ID: I20230119003300 |
| Provider Name | Jonathan Paul Ooten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396436325 PECOS PAC ID: 1355795907 Enrollment ID: I20230929002692 |
| Provider Name | Claire Alvarenga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336722081 PECOS PAC ID: 8820446347 Enrollment ID: I20231122000612 |
| Provider Name | Shawn M Croskey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265559728 PECOS PAC ID: 8426400540 Enrollment ID: I20240113000800 |
| Provider Name | Tammy Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023395548 PECOS PAC ID: 0446602296 Enrollment ID: I20240117004538 |
| Provider Name | Lior Azen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467640847 PECOS PAC ID: 7214370295 Enrollment ID: I20240206004681 |
| Provider Name | Jacqueline Vance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790546828 PECOS PAC ID: 8022450329 Enrollment ID: I20240531000185 |
| Provider Name | Dale William Evola |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952673402 PECOS PAC ID: 4587196316 Enrollment ID: I20241017000926 |
| Provider Name | Lauren Michelle Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104509900 PECOS PAC ID: 5294261012 Enrollment ID: I20241203004733 |
| Provider Name | Nicholas Jordan Adair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912521816 PECOS PAC ID: 7719413459 Enrollment ID: I20241205000814 |
| Provider Name | Alexandra Mae Gloor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952912511 PECOS PAC ID: 1355737677 Enrollment ID: I20250305003752 |
| Provider Name | Lesa Knox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578236030 PECOS PAC ID: 6103204912 Enrollment ID: I20250708004628 |
| Provider Name | Luz M Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043345721 PECOS PAC ID: 5193233609 Enrollment ID: I20250805003574 |
| Provider Name | Melat Gebreselassie Gebremeskel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881494003 PECOS PAC ID: 4688172992 Enrollment ID: I20250806004543 |
| Provider Name | Lisa Anne Ripperton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700936648 PECOS PAC ID: 3476716622 Enrollment ID: I20251104004126 |
| Provider Name | Liza Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225442361 PECOS PAC ID: 8921534629 Enrollment ID: I20260616004332 |
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