| Willamette Family Medical Center Inc | |
|
435 Lancaster Dr Ne Salem OR 97301 | |
| (503) 585-6388 | |
| (503) 566-0212 |
| Full Name | Willamette Family Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 435 Lancaster Dr Ne, Salem, Oregon |
| Authorized Official Name and Position | Robert Steele (CEO) |
| Authorized Official Contact | 5035856388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willamette Family Medical Center Inc 435 Lancaster Dr Ne Salem OR 97301-4729 Ph: (503) 585-6388 | Willamette Family Medical Center Inc 435 Lancaster Dr Ne Salem OR 97301 Ph: (503) 585-6388 |
| NPI Number | 1649386418 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 06/16/2011 |
| Medicare PECOS PAC ID | 0749272201 |
|---|---|
| Medicare Enrollment ID | O20040402000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649386418 | NPI | - | NPPES |
| 230452 | Medicaid | OR | |
| 89055000 | Other | OR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert L Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265548036 PECOS PAC ID: 3476542184 Enrollment ID: I20040508000035 |
| Provider Name | Paul T Balmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740293166 PECOS PAC ID: 0648467084 Enrollment ID: I20101210000178 |
| Provider Name | Stephanie M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134223340 PECOS PAC ID: 2365631371 Enrollment ID: I20110106000450 |
| Provider Name | Salvador M Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699881466 PECOS PAC ID: 8224217310 Enrollment ID: I20110120001255 |
| Provider Name | Olivia Ann Galvez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215975677 PECOS PAC ID: 7810081932 Enrollment ID: I20150807015036 |
| Provider Name | Ross Hugh Bartlett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225319403 PECOS PAC ID: 2365742434 Enrollment ID: I20151120001378 |
| Provider Name | Tina L Vavro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467745588 PECOS PAC ID: 8224278817 Enrollment ID: I20151214001116 |
| Provider Name | Nitikul Srisirirojanakorn Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508833047 PECOS PAC ID: 2264722610 Enrollment ID: I20160526001272 |
| Provider Name | Kristen Jamsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801056981 PECOS PAC ID: 2365663382 Enrollment ID: I20160801001179 |
| Provider Name | Elaine E Hanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154860344 PECOS PAC ID: 7911283890 Enrollment ID: I20170406002715 |
| Provider Name | Karim Afzal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982769204 PECOS PAC ID: 1254622491 Enrollment ID: I20170728002902 |
| Provider Name | Robert Charles Winchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598027286 PECOS PAC ID: 0042553141 Enrollment ID: I20190513000995 |
| Provider Name | Barbara Pociurko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396261574 PECOS PAC ID: 8820416050 Enrollment ID: I20200918002493 |
| Provider Name | Benedicta Nneoma Nnodum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467972273 PECOS PAC ID: 0648544171 Enrollment ID: I20201103002255 |
| Provider Name | Daisy Berenice Barrios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043610827 PECOS PAC ID: 7416346135 Enrollment ID: I20211222002189 |
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