Locklab Provider Group, LLC
Locklab Provider Group, LLC provides Family Medicine Physician services in Salem, Oregon. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
780 Commercial St SE Ste 100Salem, OR 97301-3465
Phone: (305) 425-9125
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1376472910 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bobby Desai — President · (305) 425-9125 |
| NPI enumerated | May 19, 2026 |
| Last updated in NPPES | May 19, 2026 |
| Certification date | May 19, 2026 |
| Mailing address | 10260 Sw Greenburg Rd Ste 400, Portland, OR 97223-5514 |
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