WVP MEDICAL GROUP LLC NPI 1164780060

NPI Information

NPI: 1164780060
Provider Name: WVP MEDICAL GROUP, LLC

Doing Business As: WVP FLAMING MEDICAL CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1000 SE UGLOW AVE
DALLAS, OR
ZIP 97338
Phone: (503) 623-8376
Get Directions

WVP MEDICAL GROUP, LLC is a primary care clinic center in Dallas, OR. WVP MEDICAL GROUP, LLC NPI is 1164780060. The provider is registered as an organization entity type.
The provider Is Doing Business As Wvp Flaming Medical Center.

The provider's business location address is:

1000 SE UGLOW AVE
DALLAS, OR
ZIP 97338-645
Phone: (503) 623-8376

The provider's authorized official is Kathy Deaton .
The authorized official title is Practice Administrator and has the following contact phone number (503) 623-8376.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 4/17/2018.

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	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	PA00266	OREGON	No
2	261QP2300X	Clinic/Center	Primary Care	PA153023	OREGON	No
3	261QP2300X	Clinic/Center	Primary Care	DO15134	OREGON	No
4	261QP2300X	Clinic/Center	Primary Care	DO10396	OREGON	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	288533	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »