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

Phoenix Rising Family Medicine LLC

Organization Primary Care Clinic/Center · NPI 1033654793

Phoenix Rising Family Medicine LLC is a Primary Care Clinic/Center in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017
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

810 Commercial St SE
Salem, OR 97302
Phone: (971) 227-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 201505391NP-PP (OR)

Record details

NPI number1033654793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Dupuis — Mbr · (541) 556-6743
NPI enumeratedJanuary 4, 2017
Last updated in NPPESJuly 31, 2018
Mailing addressPo Box 2693, Salem, OR 97308-2693

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