Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Axis Psychiatric Services, LLC

Organization Psychiatry Physician · NPI 1457845182

Axis Psychiatric Services, LLC is a Psychiatry Physician in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4035 12th St Cut Off SE Ste 140
Salem, OR 97302-1754
Phone: (971) 304-9306
Fax: (503) 371-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 201701173NP-PP (OR)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X · Licence 201701173NP-PP (OR)

Record details

NPI number1457845182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarra Baker — Psychiatric Nurse Practitioner · (615) 243-5407
Other names Axis Psychiatric Services Llc
NPI enumeratedJune 16, 2018
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021
Mailing addressPo Box 12926, Salem, OR 97309-0926

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