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Organization

PREMIER ENDOCRINOLOGY ASSOCIATES, LLC

Active
Parent organization
PREMIER ENDOCRINOLOGY ASSOCIATES, LLC
Other names
Premier Endocrinology Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
PREMIER ENDOCRINOLOGY ASSOCIATES, LLC
Authorized official
LETICIA M. LOARCA (OFFICE MANAGER)
(503) 967-4240
Entity
Organization

Contact information

Practice address
960 LIBERTY STREET SE SUITE 170, SALEM, OR 97302
(503) 967-4240
(503) 339-9546
Mailing address
700 BELLEVUE ST SE, SUITE #290, SALEM, OR 97301-3819
(503) 967-4240
(503) 339-9546

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD-D-000451
OR
163WD0400X
Diabetes Educator Registered Nurse
Primary
LD-D-000451
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26956
OR
Enumeration date
06/22/2015
Last updated
09/11/2025
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