WILLAMETTE COMMUNITY MEDICAL GROUP LLC NPI 1073607099

NPI Information

NPI: 1073607099
Provider Name: WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
920 COUNTRY CLUB RD
SUITE 200A
EUGENE, OR
ZIP 97401
Phone: (541) 342-2134
Get Directions

WILLAMETTE COMMUNITY MEDICAL GROUP LLC is a family medicine in Eugene, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WILLAMETTE COMMUNITY MEDICAL GROUP LLC NPI is 1073607099. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

920 COUNTRY CLUB RD
SUITE 200A
EUGENE, OR
ZIP 97401-024
Phone: (541) 342-2134
Fax: (541) 686-6021

The provider's authorized official is Debbie T. Brewer .
The authorized official title is Director and has the following contact phone number (615) 465-7626.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 11/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207V00000X	Obstetrics & Gynecology		No
2	208000000X	Pediatrics		No
3	2085R0202X	Radiology	Diagnostic Radiology	No
4	208600000X	Surgery		No
5	207X00000X	Orthopaedic Surgery		No
6	207R00000X	Internal Medicine		No
7	363A00000X	Physician Assistant		No
8	363L00000X	Nurse Practitioner		No
9	225100000X	Physical Therapist		No
10	207RG0100X	Internal Medicine	Gastroenterology	No
11	207K00000X	Allergy & Immunology		No
12	207VX0000X	Obstetrics & Gynecology	Obstetrics	No
13	207N00000X	Dermatology		No
14	208D00000X	General Practice		No
15	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	135824	MEDICARE PIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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