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NPI 1154567790

IndividualActive

Adam Shupe, O.D.

NPI 1154567790 · Optometrist · Salem, OR

Provider details

NPI number: 1154567790
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: No
License: ATI4341 (OR)

Practice location

655 Medical Center Dr Ne

Salem, OR 97301-2751

Phone: (503) 581-5287

Fax: (503) 386-1377

More OR providers

Mailing address

655 Medical Center Dr Ne

Salem, OR 97301-2751

Registry dates

Enumerated: 2009-01-04
Last updated: 2025-07-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adam Shupe, O.D. — NPI 1154567790, Salem, OR | NPI Central