Provider Demographics
NPI:1548379522
Name:SALVEO FAMILY MEDICINE PC
Entity Type:Organization
Organization Name:SALVEO FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:P
Authorized Official - Last Name:REMINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-623-8151
Mailing Address - Street 1:201 SE WASHINGTON ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-2860
Mailing Address - Country:US
Mailing Address - Phone:503-623-8151
Mailing Address - Fax:503-623-8185
Practice Address - Street 1:410 E ELLENDALE AVE STE 2
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:OR
Practice Address - Zip Code:97338-3052
Practice Address - Country:US
Practice Address - Phone:503-623-8151
Practice Address - Fax:503-623-8185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD25243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR271140Medicaid
OR135972Medicare PIN