OrganizationActive
Church at the Park
NPI 1558061028 · Religious Nonmedical Health Care Institution · Salem, OR
Provider details
- NPI number
- 1558061028
- Entity type
- Organization
- Primary specialty
- Religious Nonmedical Health Care InstitutionHospitals
- Organization subpart
- No
- Authorized official
- Sean Robertson, Chief Clinical Officer(503) 459-7685
Specialties & taxonomies
Hospitals
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
1280 Center St Ne
Salem, OR 97301-4113
Phone: (503) 507-4992
Approximate (ZIP-level) locationGet directions
Mailing address
2111 Front St Ne Ste 1-103
Salem, OR 97301-0779
Additional practice locations (3)
- 2640 Portland Rd NeSalem, OR 97301-0125Phone: (503) 979-7054
- 2410 Turner Rd SeSalem, OR 97302-2005Phone: (971) 375-7491
- 3749 Portland Rd NeSalem, OR 97301-0311Phone: (503) 507-2144
Registry dates
- Enumerated
- 2023-03-03
- Last updated
- 2023-03-03
- Certified
- 2023-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.