1770674103 NPI number — DR. NEMECIA ROSARIO SALINDONG-DARIO MD

Table of content: DR. NEMECIA ROSARIO SALINDONG-DARIO MD (NPI 1770674103)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770674103 NPI number — DR. NEMECIA ROSARIO SALINDONG-DARIO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALINDONG-DARIO
Provider First Name:
NEMECIA
Provider Middle Name:
ROSARIO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SALINDONG
Provider Other First Name:
NEMECIA
Provider Other Middle Name:
ROSARIO
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1770674103
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 967
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUALATIN
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-975-8415
Provider Business Mailing Address Fax Number:
506-692-6016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 NE MULTNOMAH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-233-0771
Provider Business Practice Location Address Fax Number:
503-233-0993
Provider Enumeration Date:
09/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  12954 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 282913 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".




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