PACIFIC COAST CLINIC SALEM LLC – Adult Mental Health Clinic/Center, NPI 1669704805

PACIFIC COAST CLINIC SALEM LLC is a healthcare provider. based in Salem, Oregon. specializing in Adult Mental Health Clinic/Center. The organization holds a License No. MD24295 (OR). The NPI Number for PACIFIC COAST CLINIC SALEM LLC is 1669704805

Main info

Organization
Name
PACIFIC COAST CLINIC SALEM LLC
NPI
1669704805
Phone
(971) 239-1146
Address
1249 FAIRVIEW AVE SE
Authorized Official
DR. ERUM AYAZ KHALEEQ PSYCHIATRIST MD
Enumeration Date
11 February 2010
Last Update Date
1 June 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for PACIFIC COAST CLINIC SALEM LLC

  • 1249, Fairview Avenue Southeast, Salem, Marion County, Oregon, 97302, United States

    SALEM, OR 973022534

    Phone: (971) 239-1146

    Fax: (503) 907-9933

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97302)

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Reviews

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Frequently asked questions

Can I cross-check PACIFIC COAST CLINIC SALEM LLC using NPI 1669704805?
NPI 1669704805 belongs to PACIFIC COAST CLINIC SALEM LLC; compare other details if you need extra assurance.
Is PACIFIC COAST CLINIC SALEM LLC still an active registrant?
PACIFIC COAST CLINIC SALEM LLC carries an active NPI according to the public dataset.
What expertise is attributed to PACIFIC COAST CLINIC SALEM LLC?
PACIFIC COAST CLINIC SALEM LLC's specialty line reads Adult Mental Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PACIFIC COAST CLINIC SALEM LLC?
Travel planning: use Salem, Oregon as the reference point for PACIFIC COAST CLINIC SALEM LLC, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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