Organization · Type 2 NPI

Premier Endocrinology Associates, LLC

Diabetes Educator Registered Nurse · Salem, OR

NPI number 1376925719 Active

Practice location

960 Liberty Street SE Suite 170
Salem, OR 97302

Call (503) 967-4240 Map

Fax (503) 339-9546

Mailing address

700 Bellevue St SE, Suite #290
Salem, OR 97301-3819

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian	133V00000X	LD-D-000451 (OR)
Diabetes Educator Registered Nurse Primary	163WD0400X	LD-D-000451 (OR)

Diabetes Educator Registered Nurse: Definition to come...

NPI record

NPI: 1376925719
Entity type: Organization (Type 2)
Issued: Jun 22, 2015
Last updated: Sep 11, 2025
Status: Active
Subpart: Yes of Premier Endocrinology Associates, LLC

Other names

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Premier Endocrinology Associates · doing business as

Authorized official

Leticia M. Loarca
Office Manager
(503) 967-4240

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376925719

Premier Endocrinology Associates, LLC's National Provider Identifier is 1376925719, issued on Jun 22, 2015. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Salem, OR. The record was last updated on Sep 11, 2025.