Active NPIIndividual providerSole proprietor

Mrs. Stella Ajayi-Adediran, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Salem, Oregon

NPI Number1063166809
Practice location
3000 Market St NE Ste 101, Salem, OR 97301-1808
Fax
—
Last updated
October 21, 2026

Mrs. Stella Ajayi-Adediran, PMHNP-BC is a Nurse Practitioner, Psych/Mental Health based in Salem, OR. Mrs. Stella Ajayi-Adediran, PMHNP-BC holds the professional credentials of PMHNP-BC. The NPI number for Mrs. Stella Ajayi-Adediran, PMHNP-BC is 1063166809 and holds license No. 1070382 (TX). The current practice location address is 3000 Market St NE Ste 101, Salem, OR 97301-1808 and the office can be reached by phone at 346-517-1529. The NPI was assigned on February 10, 2022 and the record was last updated in NPPES on October 21, 2026.

●Provider Profile Details

NPI Number
1063166809
Provider Name
Stella Ajayi-Adediran
Credential
PMHNP-BC
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Enumeration Date
February 10, 2022
Last Update Date
October 21, 2026
Certification Date
October 21, 2026
NPI Status
Active

◉Business Practice Location Address

Address
3000 Market St NE Ste 101
Salem, OR 97301-1808
City
Salem
State
Oregon
ZIP
97301-1808
Country
US
Phone Number
346-517-1529

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✉Business Mailing Address

Address
3000 Market St NE Ste 101
Salem, OR 97301-1808
City
Salem
State
OR
ZIP
97301-1808
Phone Number
346-517-1529

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Psych/Mental Health363LP0808XNo1070382TX
Nurse Practitioner, Psych/Mental Health363LP0808XYes202214096NP-PPOR

#Other Provider Identifiers

No legacy or other 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 Mrs. Stella Ajayi-Adediran, PMHNP-BC?

The NPI number of Mrs. Stella Ajayi-Adediran, PMHNP-BC is 1063166809. It was assigned on February 10, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stella Ajayi-Adediran, PMHNP-BC?

Mrs. Stella Ajayi-Adediran, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X) and holds license No. 1070382 (TX).

Where does Mrs. Stella Ajayi-Adediran, PMHNP-BC practice?

The practice location is 3000 Market St NE Ste 101, Salem, OR 97301-1808. The office can be reached at 346-517-1529 (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 1063166809 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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