| West Salem Family Practice Associates Llc | |
|
1275 Wallace Rd Nw Salem OR 97304-3007 | |
| (503) 371-3232 | |
| (503) 375-2398 |
| Full Name | West Salem Family Practice Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1275 Wallace Rd Nw, Salem, Oregon |
| Authorized Official Name and Position | Mark Lee Tinseth (ADMINISTRATOR) |
| Authorized Official Contact | 5037636006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Salem Family Practice Associates Llc 1275 Wallace Rd Nw Salem OR 97304-3007 Ph: (503) 371-3232 | West Salem Family Practice Associates Llc 1275 Wallace Rd Nw Salem OR 97304-3007 Ph: (503) 371-3232 |
| NPI Number | 1003817826 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7113911504 |
|---|---|
| Medicare Enrollment ID | O20040408001557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003817826 | NPI | - | NPPES |
| 286761 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oregon) | Primary |
| Provider Name | Heidi S Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356342091 PECOS PAC ID: 4385694439 Enrollment ID: I20050126000557 |
| Provider Name | Mark Scherlie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043210719 PECOS PAC ID: 5597954222 Enrollment ID: I20110705000237 |
| Provider Name | Paul G Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053311191 PECOS PAC ID: 2163472234 Enrollment ID: I20110706000431 |
| Provider Name | Eugene Yamaguchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245230382 PECOS PAC ID: 6406045137 Enrollment ID: I20110707000677 |
| Provider Name | Sarah Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326386624 PECOS PAC ID: 6709022148 Enrollment ID: I20130409000602 |
| Provider Name | Scott D Bean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336450634 PECOS PAC ID: 2062650237 Enrollment ID: I20130820000236 |
| Provider Name | Amanda M Mehlhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487982666 PECOS PAC ID: 5890013593 Enrollment ID: I20150409000007 |
| Provider Name | John F Guy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194347609 PECOS PAC ID: 9931521820 Enrollment ID: I20230807002730 |
| Provider Name | Nicole Scherlie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073967857 PECOS PAC ID: 5890149140 Enrollment ID: I20230920004246 |
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