OrganizationActive
Phoenix Rising Family Medicine LLC
NPI 1033654793 · Primary Care Clinic/Center · Salem, OR
Provider details
- NPI number
- 1033654793
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joel Dupuis, Mbr(541) 556-6743
- License
- 201505391NP-PP (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
810 Commercial St Se
Salem, OR 97302
Phone: (971) 227-1073
Street-level locationGet directions
Mailing address
Po Box 2693
Salem, OR 97308-2693
Registry dates
- Enumerated
- 2017-01-04
- Last updated
- 2018-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.