- Practice location
- 3867 Wolverine St NE Bldg F, Salem, OR 97305-4266
- Phone
- 503-588-5352
- Fax
- —
- Last updated
- June 9, 2022
Jeremy John Archibald is a Counselor, Mental Health based in Salem, OR. Jeremy John Archibald practices in Salem, OR and has the professional credentials of MH INTERN. The NPI Number for Jeremy John Archibald is 1013289578. The current practice location address for Jeremy John Archibald is 3867 Wolverine St NE Bldg F, Salem, OR 97305-4266 and can be reached out via phone at 503-588-5352.
Provider Profile Details
- NPI Number
- 1013289578
- Provider Name
- Jeremy John Archibald
- Credential
- MH INTERN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3867 Wolverine St NE Bldg F, Salem, OR 97305-4266
- Phone Number
- 503-588-5352
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 31, 2012
- Last Update Date
- June 9, 2022
- Certification Date
- June 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3867 Wolverine St NE Bldg F
Salem, OR 97305-4266 - City
- Salem
- State
- Oregon
- Zip
- 97305-4266
- Phone Number
- 503-588-5352
Provider Business Mailing Address Details
- Address
- 3867 Wolverine St NE Bldg F
Salem, OR 97305-4266 - City
- Salem
- State
- OR
- Zip
- 97305-4266
- Phone Number
- 503-588-5352
License Information
- License State
- OR
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeremy J Archibald, MH INTERN?
The NPI number of Jeremy J Archibald, MH INTERN is 1013289578. It was assigned on January 31, 2012 and is currently active in the NPPES registry.
What is the specialty of Jeremy J Archibald, MH INTERN?
Jeremy J Archibald, MH INTERN is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jeremy J Archibald, MH INTERN practice?
The practice location is 3867 Wolverine St NE Bldg F, Salem, OR 97305-4266. The office can be reached at 503-588-5352 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013289578 directly on the NPPES registry website.