Organization
NWCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZAD ASHRAF BUKSH DPM (CEO)
(503) 877-3676
Entity
Organization
Contact information
Practice address
1096 22ND ST SE, SALEM, OR 97301-6556
(503) 551-8597
Mailing address
1096 22ND ST SE, SALEM, OR 97301-6556
(833) 469-2692
(833) 342-1173
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500796997
—
OR
01
—
EB5733
RAILROAD MEDICARE
—
01
—
R227869
MEDICARE PTAN
—
Enumeration date
03/07/2021
Last updated
07/08/2025
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