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Liberty House

Pediatrics Physician in Salem, OR · enumerated 2006 · authorized official Alison Kelley, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639244056

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Registry record

Entity type Organization (Type 2)
Legal business name Liberty House
Practice address 2685 4th St Ne, Salem, OR, 97301
Fax (503) 540-0293
Enumeration date Nov 21, 2006
Last updated in NPPES Oct 27, 2023

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Alison Kelley
Title Ceo

Other identifiers

Identifier Type State Issuer
067746000 Other OR BLUE CROSS BLUE SHIELD
139463 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Liberty House located?
The practice location on file with NPPES is in Salem, OR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-27. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-27.