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

Daniella Back

Individual provider Family Nurse Practitioner · NPI 1073275202

Daniella Back is a Nurse Practitioner in Salem, Oregon. Qualified in 2024, 2 years ago. Practices with Salem Health, a 479-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5050 Skyline Village Loop S
Salem, OR 97306-9490
Phone: (503) 391-1110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 10031096 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10031096 (OR)

Record details

NPI number1073275202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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