Organization
WEST SALEM FAMILY PRACTICE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LEE TINSETH (ADMINISTRATOR)
(503) 763-6006
Entity
Organization
Contact information
Practice address
1275 WALLACE RD NW, SALEM, OR 97304-3007
(503) 371-3232
(503) 375-2398
Mailing address
1275 WALLACE RD NW, SALEM, OR 97304-3007
(503) 371-3232
(503) 375-2398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286761
—
OR
Enumeration date
08/02/2005
Last updated
07/29/2025
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